Individual provider Active NPI

Ann-Marie Olsen, MSW, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1255468153
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7719-123 Issued in WI
Practice address
7633 Ganser Way
Suite 204
Madison, WI 53719-2092
Phone
(608) 829-1800
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7719-123 WI Primary

Addresses

Primary practice location

7633 Ganser Way
Suite 204
Madison, WI 53719-2092

Mailing address

2109 Hoel Cir
Stoughton, WI 53589-4669
Phone (608) 205-2544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20111017000466 WI Practitioner - Clinical Social Worker 7719159763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wisconsin College of Physicians and Surgeons, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Solutions SCGroup PAC ID 1254362312, 15 clinicians

Practice addresses (Care Compare)

7633 Ganser Way
Suite 204
Madison, WI 53719-2092
Phone (608) 829-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7719-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Solutions, S.C. CurrentSince Jan 27, 2011 Accepting new patients
Mental Health Solutions SC PastSince Jan 27, 2011 Accepting new patients

Locations

7633 Ganser Way
Ste 204
Madison, WI 53719
Phone (608) 829-1800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1255468153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HOEL CIR",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535894669",
            "telephone_number": "608-205-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 GANSER WAY",
            "address_2": "SUITE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192092",
            "telephone_number": "608-829-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ANN-MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7719-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.