Jessica Marie Olson, MSW,LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24485 Issued in MN

Practice address

2864 Middle Street
Ste 100
Saint Paul, MN 55117

Phone

(651) 439-2055

Fax

(651) 564-7613

NPI assigned

Dec 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Marie Boner Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vanda Counseling and Psychological ServicesGroup PAC ID 6608192083, 20 clinicians

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

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.

• Vanda Counseling and Psychological Services

  • Community/Behavioral Health Agency
  • Golden Valley, MN
  • NPI 1295131779

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700

  MN, Single Specialty

  Medicare reassignment Care Compare group NPD
• Evolve Adoption and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stillwater, MN
  • NPI 1821652892
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1740828573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 MIDDLE STREET",
            "address_2": "STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55117",
            "telephone_number": "651-439-2446",
            "fax_number": "651-439-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 MIDDLE STREET",
            "address_2": "STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55117",
            "telephone_number": "651-439-2055",
            "fax_number": "651-564-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "MSW,LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BONER",
            "middle_name": "MARIE",
            "credential": "MSW,LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily J Olson, D.O.
• Geoffrey R Olson, CRNA
• Hanna Elizabeth Olson, PA
• Jeffrey John Olson, M.D.
• Jess W Olson, MD
• Karen Elaine Olson, APRN
• Katy Olson, APRN
• Kenneth Michael Olson, D.D.S.
• Letitia Olson, MA, NCSP
• Lindsay Marie Olson, DPT

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.