Individual provider Active NPI

Yvonne Larae Olson, LCSW

  • Clinical Social Worker
  • Kalispell, MT
National Provider Identifier
1770051054
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-33036 Issued in MT
Practice address
428 1St Ave W
Kalispell, MT 59901-4836
Phone
(406) 813-2082
NPI assigned
Nov 5, 2018
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 33036 MT
Clinical Social Worker 1041C0700X 33036 MT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-33036 MT Primary

Addresses

Primary practice location

428 1St Ave W
Kalispell, MT 59901-4836

Mailing address

428 1St Ave W
Kalispell, MT 59901-4836
Phone (406) 813-2082

Other practice location 1

1035 1st Ave W
Kalispell, MT 59901-5607
Phone (406) 751-8113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20190424001672 MT Practitioner - Clinical Social Worker 5496097370 Reassigns benefits to 1 organization
Practice locations: Kalispell, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

428 1St Ave W
Kalispell, MT 59901-4836
Phone (406) 813-2082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33036MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne L Olson LLC Clinical CurrentSince Jul 28, 2024 Accepting new patients
County of Flathead CurrentSince Feb 13, 2019 Accepting new patients
County of Flathead CurrentSince Feb 13, 2019 Accepting new patients

Locations

1035 1st Ave W
Kalispell, MT 59901
Phone (406) 751-8105

428 1st Ave W
Kalispell, MT 59901
Phone (406) 298-3632

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1770051054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 1ST AVE W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014836",
            "telephone_number": "406-813-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 1ST AVE W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014836",
            "telephone_number": "406-813-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 1st Ave W",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599015607",
            "country_code": "US",
            "telephone_number": "406-751-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "YVONNE",
        "middle_name": "LARAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "33036",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "33036",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-33036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.