Kathy Olson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006548 Issued in VA

Practice address

2134 Barnett Avenue
Little Hall Lower Level
Quantico, VA 22134

Phone

(540) 729-8794

NPI assigned

May 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1639526593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CHOPTANK RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225566451",
            "telephone_number": "540-729-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 BARNETT AVENUE",
            "address_2": "LITTLE HALL LOWER LEVEL",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "22134",
            "telephone_number": "540-729-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KATHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NHC Quantico
• NHC Quantico
• NHC Quantico Virginia
• Jessica Renee Norris, DMD
• Andrew Obara, MD
• Russell J. Olson, M. D.
• Judy Palmer, PA-C
• Jae H Park
• Christy Lynn Parker, LCSW
• Dilip Devjeebhai Patel, MD

• Clinical Social Worker in Quantico, VA
• Providers in Quantico, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.