Active NPI
Karin Deming Olson, LCSW
- Clinical Social Worker
- Pacific Palisades, CA
National Provider Identifier
1790039527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS18886
- Practice address
- 15219 W Sunset Blvd
Suite 209
Pacific Palisades, CA 90272-3607 - Phone
- (310) 459-6163
- Fax
- (310) 459-4582
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS18886 | CA | Primary |
Addresses
Primary practice location
15219 W Sunset Blvd
Suite 209
Pacific Palisades, CA 90272-3607
Mailing address
15219 W Sunset Blvd
Suite 209
Pacific Palisades, CA 90272-3607
Phone (310) 459-6163
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 |
|---|---|---|---|
| LCS18886 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1790039527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15219 W SUNSET BLVD",
"address_2": "SUITE 209",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723607",
"telephone_number": "310-459-6163",
"fax_number": "310-459-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15219 W SUNSET BLVD",
"address_2": "SUITE 209",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723607",
"telephone_number": "310-459-6163",
"fax_number": "310-459-4582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KARIN",
"middle_name": "DEMING",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS18886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific Palisades, CA
- Harris Newmark III, M.D.
- Van T Nguyen, M.D.
- Ocean Physical Therapy & Wellness
- Ocean Physical Therapy & Wellness
- Barbara Dee Olson, M.S. CCC-SLP
- Michelle Deanne Oneill, PHD RN
- Options Counseling Center a Psychological Corporation
- Catherine Owens, MA
- Pacific Palisades Medical Group Inc.
- Palisades Compounding Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.