Active NPIIndividual provider

Ms. Miriam N Oliver, MSW, LICSW, LMT

Social Worker, Clinical in Revere, Massachusetts

NPI Number1235295809
Practice location
300 Ocean Ave, Revere, MA 02151-3675
Fax
781-485-6119
Last updated
January 27, 2023

Miriam Nelson Oliver is a Social Worker, Clinical based in Revere, MA. Miriam Nelson Oliver practices in Revere, MA and has the professional credentials of MSW, LICSW, LMT. The NPI Number for Miriam Nelson Oliver is 1235295809 and holds a License No. LCSW78646 (CA). The current practice location address for Miriam Nelson Oliver is 300 Ocean Ave, Revere, MA 02151-3675 and can be reached out via phone at 781-504-3838 and via fax at 781-485-6119.

Provider Profile Details

NPI Number
1235295809
Provider Name
Miriam Nelson Oliver
Credential
MSW, LICSW, LMT
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave, Revere, MA 02151-3675
Phone Number
781-504-3838
Fax Number
781-485-6119
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Ms. Miriam Nelson Oliver, MSW, LICSW, LMT (Professional Name)
Provider Enumeration Date
December 28, 2006
Last Update Date
January 27, 2023
Certification Date
January 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Ocean Ave
Revere, MA 02151-3675
City
Revere
Zip
02151-3675
Phone Number
781-504-3838
Fax Number
781-485-6119
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
300 Ocean Ave
Revere, MA 02151-3675
City
Revere
State
MA
Zip
02151-3675
Phone Number
781-504-3838
Fax Number
781-485-6119

License Information

License Number (1)
LCSW78646
License State (1)
CA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
LICSW105094
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Miriam N Oliver, MSW, LICSW, LMT?

The NPI number of Ms. Miriam N Oliver, MSW, LICSW, LMT is 1235295809. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Miriam N Oliver, MSW, LICSW, LMT?

Ms. Miriam N Oliver, MSW, LICSW, LMT is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CA under license number LCSW78646.

Where does Ms. Miriam N Oliver, MSW, LICSW, LMT practice?

The practice location is 300 Ocean Ave, Revere, MA 02151-3675. The office can be reached at 781-504-3838 (phone) or 781-485-6119 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235295809 directly on the NPPES registry website.

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