Individual provider Active NPI

Marianna E. Olson, LLMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1639852627
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114158 Issued in MI
Practice address
2020 Hogback Rd Ste 18
Ann Arbor, MI 48105-9752
Phone
(517) 481-2133
NPI assigned
Aug 8, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 6851114158 MI Primary

Addresses

Primary practice location

2020 Hogback Rd Ste 18
Ann Arbor, MI 48105-9752

Mailing address

518 N Division St
Ann Arbor, MI 48104-1136
Phone (248) 579-8097

Other practice location 1

518 N Division St
Ann Arbor, MI 48104-1136
Phone (248) 579-8097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240821001943 MI Practitioner - Clinical Social Worker 7113465154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851114158MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Today Counseling and Consulting, LLC Clinical CurrentSince Jul 15, 2024 Accepting new patients

Locations

2020 Hogback Rd
Ste 18
Ann Arbor, MI 48105
Phone (517) 481-2133

4572 S Hagadorn Rd
Ste 1C
East Lansing, MI 48823
Phone (517) 481-2133

Organizations & group practices 1

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1639852627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N DIVISION ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041136",
            "telephone_number": "248-579-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HOGBACK RD STE 18",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059752",
            "telephone_number": "517-481-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 N Division St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481041136",
            "country_code": "US",
            "telephone_number": "248-579-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MARIANNA",
        "middle_name": "E.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.