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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Britney L Olson
- Carleen Olson
- Christine Sharon Olson
- Claire Elizabeth Olson
- Elizabeth Jean Olson
- Janelle Lea Olson
- Jeffrey Olson
- Jessica Olson
- Joann J Olson
- Kayla L Olson
All providers in Grand Forks, ND · Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.