Active NPI
Lynn M. Olsefski, LCSW
- Clinical Social Worker
- Ahoskie, NC
National Provider Identifier
1801090378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006701
- Practice address
- 1321 1St St W
Ahoskie, NC 27910-8842 - Phone
- (252) 209-8932
- Fax
- (252) 209-8933
- NPI assigned
- Jun 11, 2007
- Last updated
- Feb 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904006583 | VA | |
| Clinical Social Worker | 1041C0700X | C006701 | NC | Primary |
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
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006701 | NC | 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 |
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.
-
dba Intensive Rehab Health Services
- Community/Behavioral Health Agency
- Elizabeth City, NC
- NPI 1427338565
Clinical
-
- Community/Behavioral Health Agency
- Front Royal, VA
- NPI 1215930573
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1801090378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HARRELL ST",
"city": "MURFREESBORO",
"state": "NC",
"postal_code": "278551818",
"telephone_number": "252-370-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 1ST ST W",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279108842",
"telephone_number": "252-209-8932",
"fax_number": "252-209-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEFSKI",
"first_name": "LYNN",
"middle_name": "M.",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006583",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ahoskie, NC
- New Life Community Supports, Inc.
- Katlyn Small Nixon, OT
- Melissa Leggett Northcott, LPTA
- Northeastern Orthopedics, PA
- Nuvizions LLC
- Oncall Nursing of NC Inc (On Call Nursing)
- Optimum Behavioral Health Care
- Kymond D Outlaw
- Patricia Lynn Owens, LCHMC, LCAS
- Paragon Outpatient Rehabilitation Services, LLC (Synchrony Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.