Melissa Olsen, BSW
Individual provider Active NPI Social Worker · New Haven, MI
NPI 1154428522 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154428522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6802078226 (MI)
- Practice address
- 58144 Gratiot Avenue
New Haven, MI 48048 - Phone
- (810) 794-4982
- Fax
- (810) 794-4407
- NPI assigned
- Sep 20, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802078226 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802078226 | MI | Yes |
Addresses
Primary practice location
58144 Gratiot Avenue
New Haven, MI 48048
Mailing address
58144 Gratiot Avenue
P.O. Box 480430
New Haven, MI 48048
Phone (810) 794-4982
Other providers in New Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.