Jessica Lynn Olson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149026447 Issued in IL

Practice address

2130 Point Blvd Ste 200
Elgin, IL 60123-9208

Phone

(847) 783-0307

NPI assigned

Feb 8, 2024

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 IL

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fareha N. Malik, M.D. LLCGroup PAC ID 5193863587, 13 clinicians

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 and National Provider Directory roles.

• Fareha N. Malik, M.D. LLC

  • Child & Adolescent Psychiatry Physician
  • Rockford, IL
  • NPI 1528195013
  Medicare reassignment Care Compare group NPD
• Advanced Psychiatry of Elgin

  • Behavior Analyst
  • Elgin, IL
  • NPI 1588069306

  Clinical

  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1255195400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 AURORA DR UNIT 24",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601406426",
            "telephone_number": "224-723-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 POINT BLVD STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239208",
            "telephone_number": "847-783-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeola A Oladipo, APRN, FNP-BC
• Michael Allan Oleksiak, M.D.
• Desiree F Oliveros, MD
• Clare M Ollayos, D.C.
• Jamie Olson
• Pamela A Olson, D.C.
• Kathryn Omalley, DO
• Hamzeh Omar
• Megan D Oney, DPT
• Alejandro Yu Ong, M.D.

• Clinical Social Worker in Elgin, IL
• Providers in Elgin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.