Active NPI
Linda May Olsen, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1518092139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12150
- Practice address
- 1821 University Ave W
Suite Number N464
Saint Paul, MN 55104-2801 - Phone
- (651) 294-6052
- NPI assigned
- Feb 22, 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 | 12150 | MN | Primary |
Addresses
Primary practice location
1821 University Ave W
Suite Number N464
Saint Paul, MN 55104-2801
Mailing address
1346 Charles Ave
Saint Paul, MN 55104-2424
Phone (651) 645-2042
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12150 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518092139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 CHARLES AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042424",
"telephone_number": "651-645-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 UNIVERSITY AVE W",
"address_2": "SUITE NUMBER N464",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042801",
"telephone_number": "651-294-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "LINDA",
"middle_name": "MAY",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "12150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
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.