Provider Demographics
NPI:1659861888
Name:OLIVER, DARRIN MATTHEW (LMSW)
Entity Type:Individual
Prefix:
First Name:DARRIN
Middle Name:MATTHEW
Last Name:OLIVER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7548 LAYZIE ACRES LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49333-8217
Mailing Address - Country:US
Mailing Address - Phone:616-485-6152
Mailing Address - Fax:
Practice Address - Street 1:7548 LAYZIE ACRES LN
Practice Address - Street 2:
Practice Address - City:MIDDLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:49333-8217
Practice Address - Country:US
Practice Address - Phone:616-485-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010884761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical