Oliver, Vicky D.
Oliver, Vicky D. is an sole proprietor health care provider with primary practice located at 16860 Oak Park Ave Ste 103, Tinley Park IL 60477-2008. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Oliver, Vicky D. can be contacted via phone (219) 836-8806.Contact Information
Primary practice address
16860 Oak Park Ave Ste 103
Tinley Park IL 60477-2008
Phone: (219) 836-8806
Fax: (708) 283-8770
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 34001877A | Indiana |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 141-002181 | Illinois |
Profile Details
NPI number | 1861414443 |
---|---|
LBN Legal business name | Oliver, Vicky D. |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2006 |
Last updated | Feb 19th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861414443 | NPPES |
Indiana | Other | 219780 | MEDICARE |
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