Rebecca Marie Olsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101354 Issued in CA

Practice address

1394 Park Ave
Emeryville, CA 94608-3537

Phone

(510) 384-3373

NPI assigned

Oct 11, 2011

Sex

Female

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Healing Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Emeryville, CA
  • NPI 1245067321
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1740565621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 PARK AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083537",
            "telephone_number": "510-543-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 PARK AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083537",
            "telephone_number": "510-384-3373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Santa Clara Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946101333",
            "country_code": "US",
            "telephone_number": "510-543-1181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Ochoa
• Odyssey Performance Physical Therapy, Inc.
• Sayaka Ogata, NP
• Leah Louise Oliver, PSYD
• Sairanet Anayansi Oliveros, LMFT
• Tiffani Marie Ordonez, PMHNP-BC
• Joana Gabriella Orellana, PT, DPT
• Jessica Wangui Oribabor, MD
• Adrian Orozco Blair, MFT INTERN
• Alma Ortiz

• Clinical Social Worker in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.