Active NPI
Deborah J Olson, LCSW
- Clinical Social Worker
- La Crosse, WI
National Provider Identifier
1043372261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4256 - 123
- Practice address
- 1707 Main St
La Crosse, WI 54601-4200 - Phone
- (608) 785-0001
- Fax
- (608) 785-0002
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4256 - 123 | WI | Primary |
Addresses
Primary practice location
1707 Main St
La Crosse, WI 54601-4200
Mailing address
66 E 3Rd St
201
Winona, MN 55987-3478
Phone (507) 452-7292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39754700 | Medicaid | WI | |
| HP66990 | Other | MN | HEALTHPARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4256 - 123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of Winona | Past | Accepting new patients | |
| Family & Children'S Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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- NPI 1710986989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043372261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 E 3RD ST",
"address_2": "201",
"city": "WINONA",
"state": "MN",
"postal_code": "559873478",
"telephone_number": "507-452-7292",
"fax_number": "507-457-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 MAIN ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014200",
"telephone_number": "608-785-0001",
"fax_number": "608-785-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "4256 - 123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39754700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP66990",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.