Alissa Olson, LCSW, CSAC
Individual provider Active NPI Clinical Social Worker · Ixonia, WI
NPI 1649976440 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1649976440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 13109-123 (WI)
- Practice address
- N8688 North Rd
Ixonia, WI 53036-9713 - Phone
- (414) 828-5607
- NPI assigned
- Feb 2, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19686 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13109-123 | WI | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17227-132 | WI |
Addresses
Primary practice location
N8688 North Rd
Ixonia, WI 53036-9713
Mailing address
N8688 North Rd
Ixonia, WI 53036-9713
Phone (414) 828-5607
Other providers in Ixonia, WI
- Jennifer Michele Gates
- Kim M Jaeger
- Amy L Lauersdorf
- Kerry Wayne Lynch
- Jessica M Nevermann
- Beth Marie Pape
- Town of Ixonia
- Watertown Regional Medical Center Inc
- Jennifer Ann Weinreis
All providers in Ixonia, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.