Active NPI
Vivian Martin Olsen, LCSWC
- Social Worker
- Kensington, MD
National Provider Identifier
1265624993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13481
- Practice address
- 3839 Farragut Ave
Kensington, MD 20895 - Phone
- (301) 933-7600
- Fax
- (301) 933-9768
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13481 | MD | Primary |
Addresses
Primary practice location
3839 Farragut Ave
Kensington, MD 20895
Mailing address
3839 Farragut Ave
Kensington, MD 20895
Phone (301) 933-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13481 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1265624993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 FARRAGUT AVE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "20895",
"telephone_number": "301-933-7600",
"fax_number": "301-933-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3839 FARRAGUT AVE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "20895",
"telephone_number": "301-933-7600",
"fax_number": "301-933-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "VIVIAN",
"middle_name": "MARTIN",
"name_prefix": "Mrs.",
"credential": "LCSWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "13481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.