Active NPI
Nancy G Olsen, LCSW
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1730211632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS14063
- Practice address
- 10000 County Farm Road
Riverside, CA 92503-3609 - Phone
- (951) 358-4390
- Fax
- (951) 358-4277
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS14063 | CA | Primary |
Addresses
Primary practice location
10000 County Farm Road
Riverside, CA 92503-3609
Mailing address
2618 Mangrove Way
Riverside, CA 92506-5126
Phone (951) 784-2466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS14063 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1730211632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 MANGROVE WAY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925065126",
"telephone_number": "951-784-2466",
"fax_number": "951-358-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 COUNTY FARM ROAD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033609",
"telephone_number": "951-358-4390",
"fax_number": "951-358-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "NANCY",
"middle_name": "G",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS14063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.