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1285509133 NPI number — RENEE JILLIAN OLIVIEL ASW

NPI Number: 1285509133
Health Care Provider/Practitioner: RENEE JILLIAN OLIVIEL ASW

Information about “1285509133” NPI (RENEE JILLIAN OLIVIEL ASW) exists in 1285509133 in HTML format HTML  |  1285509133 in plain Text format TXT  |  1285509133 in PDF (Portable Document Format) PDF  |  1285509133 in an XML format XML  formats.

NPI Number : 1285509133 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285509133",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OLIVIEL",
    "FirstName": "RENEE",
    "MiddleName": "JILLIAN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ASW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "30421 AMBUSH CT STE 206",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MENIFEE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92584-2617",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-652-8300",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1600 E FLORIDA AVE STE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HEMET",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92544-8638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-652-8300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/09/2025",
    "LastUpdateDate": "10/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "RA1601023",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "ASW112890",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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