Active NPI
Theresa L Olson, LISW-S
- Clinical Social Worker
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1801359
- Practice address
- 1744 Payne Ave
Cleveland, OH 44114-2910 - Phone
- (216) 583-0615
- Fax
- (216) 361-8646
- NPI assigned
- Jan 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0600739 | OH | |
| Clinical Social Worker | 1041C0700X | I.1801359 | OH | Primary |
Addresses
Primary practice location
1744 Payne Ave
Cleveland, OH 44114-2910
Mailing address
15575 Pinewood Dr
Strongsville, OH 44149-5620
Phone (216) 538-8649
Other practice location 1
508 Dickson St Ste 2
Wellington, OH 44090-1300
Phone (440) 828-0012 ext. 104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 Dickson St
Suite 2
Wellington, OH 44090-1300
Phone (440) 828-0012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0600739 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Pathways, LLC | Clinical | Current | Accepting new patients |
| Mental Health Services for Homeless Persons, Inc. | Current | Accepting new patients |
Locations
1744 Payne Ave
Cleveland, OH 44114
Phone (216) 361-8640
508 Dickson St
Ste 2
Wellington, OH 44090
Phone (440) 647-2225
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.
-
- Case Management Agency
- Cleveland, OH
- NPI 1639140395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1255848404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15575 PINEWOOD DR",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441495620",
"telephone_number": "216-538-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 PAYNE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441142910",
"telephone_number": "216-583-0615",
"fax_number": "216-361-8646"
}
],
"practiceLocations": [
{
"address_1": "508 Dickson St Ste 2",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "OH",
"postal_code": "440901300",
"country_code": "US",
"telephone_number": "440-828-0012 x104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "THERESA",
"middle_name": "L",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0600739",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1801359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.