Provider Demographics
NPI:1598485914
Name:OLIVER, JAMES DAKOTA (MSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAKOTA
Last Name:OLIVER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:DAKOTA
Other - Last Name:OLIVER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JAMES OLIVER, MSW
Mailing Address - Street 1:13501 SWEET BRIAR PKWY
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-5565
Mailing Address - Country:US
Mailing Address - Phone:260-330-4262
Mailing Address - Fax:
Practice Address - Street 1:6655 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-8923
Practice Address - Country:US
Practice Address - Phone:888-714-1927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker