Active NPI
Dean Olson, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1457484057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23146
- Practice address
- 7557 Rambler Rd
Suite 814
Dallas, TX 75231-4142 - Phone
- (214) 676-7920
- Fax
- (214) 349-2336
- NPI assigned
- Mar 13, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23146 | TX | Primary |
Addresses
Primary practice location
7557 Rambler Rd
Suite 814
Dallas, TX 75231-4142
Mailing address
7557 Rambler Rd
Suite 814
Dallas, TX 75231-4142
Phone (214) 676-7920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00788E | Other | TX | BLUE CROSS ID |
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 |
|---|---|---|---|
| 23146 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Realistic Expectations, PLLC | Past | Accepting new patients | |
| Mind Body Wellness PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1164760518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457484057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7557 RAMBLER RD",
"address_2": "SUITE 814",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314142",
"telephone_number": "214-676-7920",
"fax_number": "214-349-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7557 RAMBLER RD",
"address_2": "SUITE 814",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314142",
"telephone_number": "214-676-7920",
"fax_number": "214-349-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DEAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "23146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "00788E",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.