Active NPI
Michael Stewart Olsen, L.CS.W.
- Clinical Social Worker
- Orem, UT
National Provider Identifier
1215907886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 136916-3501
- Practice address
- 361 E 1200 S
Suite 201
Orem, UT 84058-6904 - Phone
- (801) 556-8368
- Fax
- (801) 224-4914
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 136916-3501 | UT | Primary |
Addresses
Primary practice location
361 E 1200 S
Suite 201
Orem, UT 84058-6904
Mailing address
RR 3 Box A2
Provo, UT 84604-8901
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13691635000001 | Other | UT | BLUE CROSS |
| 942938348113 | Other | UT | UNKNOWN COMPANY |
| 261923 | Other | UT | DESERT MUTUAL |
| 107001387101 | Other | UT | INTRMTN. HEATH CARE |
| 9429383483480L1 | Other | UT | EDUCATORS MUTUAL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1215907886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 3 BOX A2",
"city": "PROVO",
"state": "UT",
"postal_code": "846048901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 E 1200 S",
"address_2": "SUITE 201",
"city": "OREM",
"state": "UT",
"postal_code": "840586904",
"telephone_number": "801-556-8368",
"fax_number": "801-224-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "MICHAEL",
"middle_name": "STEWART",
"credential": "L.CS.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "136916-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "13691635000001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNKNOWN COMPANY",
"identifier": "942938348113",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERT MUTUAL",
"identifier": "261923",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTRMTN. HEATH CARE",
"identifier": "107001387101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "9429383483480L1",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.