Angel Ann Olson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

134338 Issued in WI

Practice address

103 Railway Ave
Soldiers Grove, WI 54655-7063

Phone

(608) 293-0662

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Manifest Wellness, LLC

  • Professional Counselor
  • Madison, WI
  • NPI 1750064283

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1225899370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930155",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535930155",
            "telephone_number": "608-982-7790",
            "fax_number": "608-716-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RAILWAY AVE",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546557063",
            "telephone_number": "608-293-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ANGEL",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20001",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth S Laxton, PT
• Sara L Mand, RN
• North Crawford Rescue Squad, Inc.
• North Crawford School District
• NSH Soldiers Grove LLC
• Tammy S Pedretti, P.A.
• Mary Root
• Sannes Skogdalen Nursing Facility LLC
• Scenic Bluffs Health Center, Inc
• Jennifer Spann, SLP

• Social Worker in Soldiers Grove, WI
• Providers in Soldiers Grove, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.