Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Oliver, LCSW

Individual provider Clinical Social Worker · NPI 1508905498

Theodore Oliver, LCSW is a Clinical Social Worker in Hannibal, Missouri. Qualified in 1978, 48 years ago. Practices with Mark Twain Association for Mental Health Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
48
Licensed in
MO
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

917 Broadway
Hannibal, MO 63401-4200
Phone: (573) 221-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 004830 (MO)

Record details

NPI number1508905498
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 9, 2007
Mailing address917 Broadway, Po Box 708, Hannibal, MO 63401-4200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Mark Twain Association For Mental Health Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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