Provider Demographics
NPI:1437642790
Name:OLIVER, BRITTNEY ANN (LCSW)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ANN
Last Name:OLIVER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W 31ST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-4602
Mailing Address - Country:US
Mailing Address - Phone:740-317-6976
Mailing Address - Fax:740-317-6976
Practice Address - Street 1:301 E CARMEL DR STE D400
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4813
Practice Address - Country:US
Practice Address - Phone:317-343-8462
Practice Address - Fax:317-343-8482
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.23044721041C0700X
IN34010551A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHS.1801933OtherSOCIAL WORK LICENSE