Genevieve Olson, LBSW

Individual provider Active NPI Social Worker · Grand Forks, ND

NPI 1013602846 · NPPES record last updated Apr 7, 2023

Key facts

NPI
1013602846
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
5666 (ND)
Practice address
340 Division Ave
Grand Forks, ND 58201-4702
Phone
(866) 277-8425
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5666 ND Yes

Addresses

Primary practice location

340 Division Ave
Grand Forks, ND 58201-4702

Mailing address

340 Division Ave
Grand Forks, ND 58201-4702

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2023.

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1013602846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DIVISION AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DIVISION AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014702",
            "telephone_number": "866-277-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "GENEVIEVE",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Social Worker in North Dakota

Sources for this page

Verify at the official NPI Registry.