Individual provider Active NPI

Mark Scott Olson, LMSW

  • Clinical Social Worker
  • Cedar Springs, MI
National Provider Identifier
1700516838
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119807 Issued in MI
Practice address
261 N Main St
Cedar Springs, MI 49319-8041
Phone
(616) 287-5637
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 6801119807 MI Primary

Addresses

Primary practice location

261 N Main St
Cedar Springs, MI 49319-8041

Mailing address

261 N Main St
Cedar Springs, MI 49319-8041
Phone (616) 287-5637

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
I20260226000693 MI Practitioner - Clinical Social Worker 7416438569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13875 16 Mile Rd
Gowen, MI 49326-9558

PO Box
Suite 2257
Chesterton, IN 46304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119807MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Tides Counseling LLC Clinical CurrentSince Dec 20, 2025 Accepting new patients

Locations

261 N Main St
Cedar Springs, MI 49319
Phone (616) 287-5637

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1700516838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N MAIN ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198041",
            "telephone_number": "616-287-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N MAIN ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198041",
            "telephone_number": "616-287-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MARK",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Springs, MI

Sources for this page

Verify at the official NPI Registry.