Individual provider Active NPI

Ashley Olivia Olsen, LMSW

  • Clinical Social Worker
  • Norwich, CT
National Provider Identifier
1407615776
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6119 Issued in CT
Practice address
67 Church St
Norwich, CT 06360-5084
Phone
(860) 425-5258
Fax
(860) 425-5256
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

350 Ctr Rock GRN
Suite 10
Oxford, CT 06478-3170
Phone (203) 450-9655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250730001615 CT Practitioner - Clinical Social Worker 6800303124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15349CTMDPharmacist
6119CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cortes Counseling LLC Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

350 Center Rock Grn
Ste 10D
Oxford, CT 06478
Phone (203) 450-9655

350 Center Rock Grn
Ste 10
Oxford, CT 06478
Phone (203) 828-6790

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 6119 CT Primary

Addresses

Primary practice location

67 Church St
Norwich, CT 06360-5084

Mailing address

28 Pine St
Waterford, CT 06385-2410
Phone (860) 514-7441

Other names 1

  • Ms. Ashley Olivia Catala Former name

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1407615776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PINE ST",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852410",
            "telephone_number": "860-514-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CHURCH ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605084",
            "telephone_number": "860-425-5258",
            "fax_number": "860-425-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ASHLEY",
        "middle_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "CATALA",
            "middle_name": "OLIVIA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.