Active NPI
Andie Lee Olowu, LICSW
- Social Worker
- Danvers, MA
National Provider Identifier
1861973836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 218934
- Practice address
- 85 Constitution LN Ste 200a
Danvers, MA 01923-3630 - Phone
- (978) 991-1978
- NPI assigned
- Aug 27, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | 218934 | MA | Primary |
Addresses
Primary practice location
85 Constitution LN Ste 200a
Danvers, MA 01923-3630
Mailing address
800 Cummings Ctr Building 800 Suite 266-T
Beth Israel Lahey Health Behavioral Services
Beverly, MA 01915
Phone (978) 921-1190
Other names 1
- Andie Lee Solemina
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 |
|---|---|---|---|
| 218934 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734825600000",
"number": "1861973836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CUMMINGS CTR BUILDING 800 SUITE 266-T",
"address_2": "BETH ISRAEL LAHEY HEALTH BEHAVIORAL SERVICES",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-921-1190",
"fax_number": "978-922-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CONSTITUTION LN STE 200A",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233630",
"telephone_number": "978-991-1978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLOWU",
"first_name": "ANDIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2024-12-22",
"certification_date": "2024-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "218934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDIE",
"last_name": "SOLEMINA",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.