Heather Elizabeth Olsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7789708-3501 Issued in UT

Practice address

186 E 1800 N
North Logan, UT 84341-2019

Phone

(435) 754-9554

Fax

(435) 752-1095

NPI assigned

May 16, 2017

Last updated

May 16, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Previously, effective Aug 24, 2020 through Aug 24, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heather E Olsen LCSW LLC

  dba THRIVE Wellness Services

  • Clinical Social Worker
  • Logan, UT
  • NPI 1205783354
  NPD Authorized official
• Camille Webb LLC

  • Clinical Social Worker
  • North Logan, UT
  • NPI 1942164116
  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1649707076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 N 1600 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412940",
            "telephone_number": "435-754-9554",
            "fax_number": "435-752-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E 1800 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412019",
            "telephone_number": "435-754-9554",
            "fax_number": "435-752-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7789708-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Division - CVH, LLC (Cache Valley Hospital)
• Shane Mozingo
• Michael Craig Mumford, DPT
• Josh Robert Novak, LMFT
• Erin Bagley Oberg, PA-C
• Ray Brock Olson, PA
• Eric Parker
• Ronald J Payne, M.O.
• Peak Health LLC (Peak Health)
• Sven Lee Peery, DMD

• Clinical Social Worker in North Logan, UT
• Providers in North Logan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.

Verify at the official NPI Registry.