Individual provider Active NPI

Theresa L Olson, LISW-S

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1255848404
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1801359 Issued in OH
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

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201228002394 OH Practitioner - Clinical Social Worker 5991118523 Reassigns benefits to 2 organizations

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
Cornerstone Pathways LLCGroup PAC ID 9436597200, 4 clinicians

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

LicenseStateTypeSpecialty
S.0600739OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Pathways, LLC Clinical CurrentSince Dec 6, 2023 Accepting new patients
Mental Health Services for Homeless Persons, Inc. CurrentSince Sep 19, 2020 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.

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

Verify at the official NPI Registry.