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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ANGELA D OLIVER, LCSW
244 TUNE DRIVE
EL PRADO, NM87529
 Phone: 575-751-9858
 Fax: 575-751-9858
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ANGELA D OLIVER · (Female)

NPI Number 1003008202
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/13/2007
Last updated 03/17/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NM License # C-06235
  • NM License # I-06235
  • NM Medicaid 99881365
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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