Individual provider Active NPI

Olivia Elick

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1396543062
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31669 Issued in MN
Practice address
401 Groveland Ave
Minneapolis, MN 55403-3219
Phone
(952) 831-2000
NPI assigned
Mar 6, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 31669 MN Primary

Addresses

Primary practice location

401 Groveland Ave
Minneapolis, MN 55403-3219

Mailing address

2501 Stevens Ave
Minneapolis, MN 55404-4347

Other practice location 1

2501 Stevens Ave
Minneapolis, MN 55404-4347
Phone (612) 874-1501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20251121000924 MN Practitioner - Clinical Social Worker 4587156187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Cabot Psychological Services, PLLCGroup PAC ID 9739203167, 13 clinicians

Practice addresses (Care Compare)

7301 Ohms LN
Suite 450
Edina, MN 55439-2339
Phone (952) 831-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cabot Psychological Services, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

401 Groveland Ave
Minneapolis, MN 55403
Phone (612) 872-1161

7301 Ohms Ln
Ste 450
Minneapolis, MN 55439
Phone (952) 831-2000

Organizations & group practices 1

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1396543062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 STEVENS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GROVELAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033219",
            "telephone_number": "952-831-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Stevens Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554044347",
            "country_code": "US",
            "telephone_number": "612-874-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELICK",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.