Tamera Ireland Olson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14382 Issued in MD

Practice address

995 Prince Frederick Blvd
Ste. 209
Prince Frederick, MD 20678-3198

Phone

(410) 610-6602

Fax

(410) 535-2226

NPI assigned

Oct 24, 2008

Last updated

Oct 4, 2010By the provider in NPPES

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 MD

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Vine Christian Counseling, LLC

  • Clinical Social Worker
  • Prince Frederick, MD
  • NPI 1790922250
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1053564898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 PRINCE FREDERICK BLVD",
            "address_2": "STE. 209",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783198",
            "telephone_number": "410-610-6602",
            "fax_number": "410-535-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 PRINCE FREDERICK BLVD",
            "address_2": "STE. 209",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783198",
            "telephone_number": "410-610-6602",
            "fax_number": "410-535-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TAMERA",
        "middle_name": "IRELAND",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Blake O'Brien, M.D.
• Julie O'Keefe, MD
• Gary M. O'Shea, D.D.S.
• Oasis Nursing & Rehab LLC
• Kristen Olivo, LCPC
• Orthocare Solutions Inc
• Darlyn Rose Osborn
• Outreach Recovery II
• Outreach Recovery II
• Heidi Pappert, SLP

• Clinical Social Worker in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.