Active NPI
Catherine C Olson, LICSW
- Clinical Social Worker
- Lakeland, MN
National Provider Identifier
1639349343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10556
- Practice address
- 44 Saint Croix TRL S
#155
Lakeland, MN 55043-9664 - Phone
- (651) 337-1341
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 10556 | MN | Primary |
Addresses
Primary practice location
44 Saint Croix TRL S
#155
Lakeland, MN 55043-9664
Mailing address
44 Saint Croix TRL S
#155
Lakeland, MN 55043-9664
Phone (651) 337-1341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57613800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2020 through Dec 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10556 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1639349343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 SAINT CROIX TRL S",
"address_2": "#155",
"city": "LAKELAND",
"state": "MN",
"postal_code": "550439664",
"telephone_number": "651-337-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 SAINT CROIX TRL S",
"address_2": "#155",
"city": "LAKELAND",
"state": "MN",
"postal_code": "550439664",
"telephone_number": "651-337-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "CATHERINE",
"middle_name": "C",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "10556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57613800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, MN
- Andrea Lynn Levasseur, LMFT
- Lower St Croix Valley Fire Protection District
- James Lee McDonald, DDS
- David Duane Millard, P.T.
- Northland Dental Partners, PLLC (Metro Dentalcare Lakeland)
- Kennedy Oreilly
- Suzanne Kay Oswald
- Daniel D Porter, D.C.
- Mark C. Reps, D.C.
- Rosann M. Froehle DC LLC (Lakeland Family Chiropractic and Acupunct)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.