Kurt Olsson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006854 Issued in VA

Practice address

3201 Cherry Ridge St Ste C320
San Antonio, TX 78230-4800

Phone

(210) 541-1447

NPI assigned

Apr 12, 2007

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

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 and National Provider Directory roles.

• LDS Family Services

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1194941898
  NPD (past) Authorized official
• LDS Family Services

  • Community/Behavioral Health Agency
  • San Antonio, TX
  • NPI 1467669978
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1669696415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 VIRGINIA PINE CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232372203",
            "telephone_number": "804-743-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST STE C320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304800",
            "telephone_number": "210-541-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "KURT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landon Chase Olson, PT
• Lauren Elise Olson, MOT, OTR, CNT, NTMTC
• Lydia Bernadette Olson
• Roberta E Olson, RN
• Stephanie Ann Olson, PHD
• Rachel Ann Olsson, APRN, CNM
• Taylor D'Ann Olszewski
• Meghan Olt, PH.D.
• Mackenzie Oltmann
• Oluseyi B Olubadewo, PHD

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.