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 1:2732 W MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-3750
Practice Address - Country:US
Practice Address - Phone:317-554-4600
Practice Address - Fax:317-554-4617
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker