Anderson, Olivia

Anderson, Olivia is an individual health care provider with primary practice located at 1835 Gilmore Ave , Lakeland FL 33805-3017. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Olivia can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1835 Gilmore Ave Lakeland FL 33805-3017
Phone: (863) 519-0575
Fax: (863) 519-0728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW9710 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW9710 Florida

Profile Details

NPI number 1023125945
LBN Legal business name Anderson, Olivia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Oct 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023125945 NPPES
Florida MEDICAID 008790100

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