1831587815 NPI number — DR. CATHERINE OLIVER DSW,LCSW, LPHA, CWEL

Table of content: DR. CATHERINE OLIVER DSW,LCSW, LPHA, CWEL (NPI 1831587815)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831587815 NPI number — DR. CATHERINE OLIVER DSW,LCSW, LPHA, CWEL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OLIVER
Provider First Name:
CATHERINE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DSW,LCSW, LPHA, CWEL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZANIS
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831587815
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 SPRING HILL RING RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST DUNDEE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60118-7300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-446-8433
Provider Business Mailing Address Fax Number:
847-551-5536

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 SPRING HILL RING RD
Provider Second Line Business Practice Location Address:
115
Provider Business Practice Location Address City Name:
WEST DUNDEE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60118-7300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-849-4559
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  149.018255 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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