Ucdavis Medical Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS# 16490 Issued in CA

Legal business name

UCDAVIS MEDICAL CENTER

Doing business as

Psychological Resource Associates

Practice address

1627 Oak Ave
Davis, CA 95616-1072

Phone

(530) 400-3544

NPI assigned

Jan 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Janet Mary Oleson, MSW, LCSW

Title

Clinical Social Worker

Phone

(530) 400-3544

Specialties & licenses 1

Addresses

Other names 1

• Psychological Resource Associates Doing business as

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528112380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 CUMBERLAND PL",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162909",
            "telephone_number": "530-400-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 OAK AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161072",
            "telephone_number": "530-400-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCDAVIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLESON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "15304003544",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS# 16490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Resource Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Turning Point Community Programs
• Turning Point Community Programs
• Wendy Jo Twichell-O'Neal
• UC Davis Student Health and Counseling Services
• UC Davis Student Health and Counseling Services
• UCLA Semel Institute
• Johanna Ines Ugaz Gavidia
• Gordon Leroy Ulrey, PH.D.
• Robert Wood Underhill Jr., MFT
• University Retirement Community at Davis, Inc

• Clinical Social Worker in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.