Lynn M. Olsefski, LCSW
Individual provider Active NPI Clinical Social Worker · Ahoskie, NC
NPI 1801090378 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1801090378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C006701 (NC)
- Practice address
- 1321 1St St W
Ahoskie, NC 27910-8842 - Phone
- (252) 209-8932
- Fax
- (252) 209-8933
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006701 | NC | MD | Clinical Social Worker |
| 0904006583 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Community Services Board | Clinical | Past |
Accepting new patients |
| Intensive Mental Care Inc | Clinical | Past | Accepting new patients |
| Abundant Health and Human Services | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904006583 | VA | |
| Clinical Social Worker | 1041C0700X | C006701 | NC | Yes |
Addresses
Primary practice location
1321 1St St W
Ahoskie, NC 27910-8842
Mailing address
408 Harrell St
Murfreesboro, NC 27855-1818
Phone (252) 370-4885
Other providers in Ahoskie, NC
- New Life Community Supports, Inc.
- Katlyn Small Nixon
- Melissa Leggett Northcott
- Northeastern Orthopedics, PA
- Nuvizions LLC
- Oncall Nursing of NC Inc
- Optimum Behavioral Health Care
- Kymond D Outlaw
- Patricia Lynn Owens
- Paragon Outpatient Rehabilitation Services, LLC
All providers in Ahoskie, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.