Mary Sue Olcott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003830 Issued in NC

Practice address

200 E Bessemer Ave
Greensboro, NC 27401-1416

Phone

(336) 803-0960

Fax

(336) 299-2808

NPI assigned

Aug 20, 2006

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1033224266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BESSEMER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011416",
            "telephone_number": "336-803-0960",
            "fax_number": "336-299-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BESSEMER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011416",
            "telephone_number": "336-803-0960",
            "fax_number": "336-299-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLCOTT",
        "first_name": "MARY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Jane Okirima-Tiluk
• Stormy Oklesh, CNM
• Tytiana Okunwobi
• Adewale Olalere, MD
• Angela Olalere, CRNP
• Katherine Marion Oldham, B.A. PSYCHOLOGY
• Lance Bradley Oldham, LPC
• Matthew D. Olin, MD
• Demetra Marcia Oliver
• Gayland Anthony Oliver, BA, MBA, CFTS

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.