Individual provider Active NPI

Anne M Olsen, MSW, LMSW, ACSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1821195124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801060536 Issued in MI
Practice address
114 Tuscola
Bay City, MI 48708-6995
Phone
(989) 895-0788
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801060536 MI Primary

Addresses

Primary practice location

114 Tuscola
Bay City, MI 48708-6995

Mailing address

114 Tuscola
Bay City, MI 48708-6995
Phone (989) 895-0788

Other identifiers 4

IdentifierTypeStateIssuer
042659OtherMICIGNA
1014496OtherMIMCLAREN
042659OtherMIVALUE OPTIONS
0995531OtherMIHEALTHPLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050607000828 MI Practitioner - Clinical Social Worker 7315980075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Psychological and Neurobehavioral Services LLCGroup PAC ID 5799728457, 4 clinicians

Practice addresses (Care Compare)

114 N Tuscola Rd
Bay City, MI 48708-6995
Phone (989) 895-0788

114 Tuscola Rd
Bay City, MI 48708-6995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801060536MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Psychological & Neurobehavioral Services, LLC CurrentSince Apr 15, 2005 Accepting new patients

Locations

114 N Tuscola Rd
Bay City, MI 48708
Phone (989) 778-1213

204 W Buttles St
Midland, MI 48640

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821195124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TUSCOLA",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086995",
            "telephone_number": "989-895-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 TUSCOLA",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086995",
            "telephone_number": "989-895-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "MSW, LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801060536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "042659",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1014496",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "042659",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0995531",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.