Tina R Olson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5121 Issued in NH

Practice address

33 Warren St
Concord, NH 03301-4049

Phone

(603) 226-1999

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in NH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warren Street Family Counseling Assoc IncGroup PAC ID 5799762597, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grounded Willow Counseling

  • Clinical Social Worker
  • Concord, NH
  • NPI 1912847666
  Medicare reassignment NPD Authorized official
• Warren Street Family Counseling Assoc Inc

  • Mental Health Counselor
  • Concord, NH
  • NPI 1780754093
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1053433359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HOOKSETT TPKE",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018402",
            "telephone_number": "603-726-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WARREN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014049",
            "telephone_number": "603-226-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TINA",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "5121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Oliver
• Ronald C Oliver, M.D.
• Susan Olsen, BS
• Heather Olson, M.A.
• Kirke H Olson, PSYD
• Laura Therese Omogrosso, OTR
• Joy Omosigho
• Madeline Ondzes
• Scott R Oosterveen, MD
• Alex Opidee

• Clinical Social Worker in Concord, NH
• Providers in Concord, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.