Provider Demographics
NPI:1033510201
Name:OLIVER, DARRIN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:
Last Name:OLIVER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 S DWIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-4446
Mailing Address - Country:US
Mailing Address - Phone:310-638-1190
Mailing Address - Fax:
Practice Address - Street 1:1005 S DWIGHT AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-4446
Practice Address - Country:US
Practice Address - Phone:310-991-2339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW70435101YM0800X
CA1133521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health