Individual provider Active NPI

Ashley Jordan Olsen

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1861057192
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12921 Issued in NE
Practice address
7905 L St Ste 430
Omaha, NE 68127-1732
Phone
(402) 218-7511
NPI assigned
May 2, 2019
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 12921 NE Primary

Addresses

Primary practice location

7905 L St Ste 430
Omaha, NE 68127-1732

Mailing address

7905 L St Ste 430
Omaha, NE 68127-1732
Phone (402) 218-7511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12921NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Innerwork Counseling and Consulting CurrentSince Mar 6, 2022 Accepting new patients
LDS Family Services PastSince Sep 1, 2019 Accepting new patients
Utah County Department of Drug and Alcohol Prevention and Treatment Past Accepting new patients

Locations

7905 L St
Ste 430
Omaha, NE 68127
Phone (402) 218-7511

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1861057192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 L ST STE 430",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271732",
            "telephone_number": "402-218-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 L ST STE 430",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271732",
            "telephone_number": "402-218-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ASHLEY",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "12921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.