Individual provider Active NPI

Lacey N Olson, LCSW

  • Clinical Social Worker
  • Sandpoint, ID
National Provider Identifier
1306250816
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-38278 Issued in ID
Practice address
506 N 4TH Ave
Sandpoint, ID 83864-1513
Phone
(208) 263-5393
NPI assigned
Jun 12, 2014
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 LCSW-38278 ID Primary

Addresses

Primary practice location

506 N 4TH Ave
Sandpoint, ID 83864-1513

Mailing address

PO Box 2337
Sandpoint, ID 83864-0911
Phone (208) 301-9172

Other practice location 1

1315 Highway 2 Ste 3
Sandpoint, ID 83864-2724
Phone (208) 301-9172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240110005105 ID Practitioner - Clinical Social Worker 7113378464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandpoint Psychotherapy LLCGroup PAC ID 3072682061, 5 clinicians

Practice addresses (Care Compare)

506 N 4TH Ave
Sandpoint, ID 83864-1513
Phone (208) 263-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-38278IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandpoint Psychotherapy LLC CurrentSince Jan 1, 2024 Accepting new patients
Panhandle Empowerment & Healing, LLC Clinical Past Accepting new patients
Panhandle Support Services, LLC Past Accepting new patients
Healing Partners Equestrian Program PastSince Jan 1, 2024 Accepting new patients

Locations

506 N Fourth Ave
Sandpoint, ID 83864
Phone (208) 263-5393

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1306250816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640911",
            "telephone_number": "208-301-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N 4TH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641513",
            "telephone_number": "208-263-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Highway 2 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838642724",
            "country_code": "US",
            "telephone_number": "208-301-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LACEY",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-38278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.