Active NPI
Melanie S. Olson, LICSW
- Clinical Social Worker
- Saginaw, MN
National Provider Identifier
1154517571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13106
- Practice address
- 4756 Munger Shaw Rd
Saginaw, MN 55779-9509 - Phone
- (218) 340-7884
- NPI assigned
- Sep 19, 2007
- 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 | 13106 | MN | Primary |
Addresses
Primary practice location
4756 Munger Shaw Rd
Saginaw, MN 55779-9509
Mailing address
4756 Munger Shaw Rd
Saginaw, MN 55779-9509
Phone (218) 340-7884
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1154517571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4756 MUNGER SHAW RD",
"city": "SAGINAW",
"state": "MN",
"postal_code": "557799509",
"telephone_number": "218-340-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4756 MUNGER SHAW RD",
"city": "SAGINAW",
"state": "MN",
"postal_code": "557799509",
"telephone_number": "218-340-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MELANIE",
"middle_name": "S.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "13106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.