Organization Active NPI

Mary C Olsen, LCSW, Psychotherapist, PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1679071468
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085084 Issued in NY
Legal business name
MARY C OLSEN, LCSW, PSYCHOTHERAPIST, PLLC
Practice address
151 West 86TH Street
Suite 1Ce
New York, NY 10024-3401
Phone
(917) 750-9341
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Mary C Olsen, LCSWNPI 1609363308
Title
Sole Proprietor/Psychotherapist
Phone
(917) 750-9341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 085084 NY Primary

Addresses

Primary practice location

151 West 86TH Street
Suite 1Ce
New York, NY 10024-3401

Mailing address

151 West 86TH Street
Suite 1Ce
New York, NY 10024-3401
Phone (917) 750-9341

National Provider Directory

National Provider Directory

Locations

151 W 86th St
Apt 1CE
New York, NY 10024
Phone (917) 750-9341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1679071468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WEST 86TH STREET",
            "address_2": "SUITE 1CE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243401",
            "telephone_number": "917-750-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WEST 86TH STREET",
            "address_2": "SUITE 1CE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243401",
            "telephone_number": "917-750-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY C OLSEN, LCSW, PSYCHOTHERAPIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-750-9341",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.