Individual provider Active NPI

Bret Olson, MSW, LCSW

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1467108688
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256265 Issued in KY
Practice address
525 W 5TH St
Covington, KY 41011-1259
Phone
(859) 547-6315
NPI assigned
Feb 25, 2022
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 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 256265 KY Primary

Addresses

Primary practice location

525 W 5TH St
Covington, KY 41011-1259

Mailing address

525 W 5TH St
Covington, KY 41011-1259
Phone (859) 547-6315

Other identifiers 2

IdentifierTypeStateIssuer
0035830MedicaidOH
7100807970MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240226001096 KY Practitioner - Clinical Social Worker 0143665554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Cincinnati College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Home of Northern KentuckyGroup PAC ID 0143664102, 8 clinicians

Practice addresses (Care Compare)

525 W 5TH St
Suite 219
Covington, KY 41011-1293
Phone (859) 261-8768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256265KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Home of Northern Kentucky Single Specialty CurrentSince Jan 17, 2024 Accepting new patients
Children's Home of Northern Kentucky PastSince Jan 17, 2024 Accepting new patients

Locations

4836 Idlewild Rd
Burlington, KY 41005
Phone (859) 261-8768

200 Home Rd
Covington, KY 41011
Phone (859) 261-8768

525 W 5th St
Ste 219
Covington, KY 41011
Phone (859) 261-8768

103 Barnes Rd
Ste 1
Williamstown, KY 41097
Phone (859) 261-8768

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.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1467108688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 5TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111259",
            "telephone_number": "859-547-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 5TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111259",
            "telephone_number": "859-547-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "BRET",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035830",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100807970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.