Individual provider Active NPI

Megan L. Sigmon-Olsen, M.S.W., LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1871897199
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19748 Issued in MN
Practice address
670 Cleveland Ave S
Saint Paul, MN 55116-1218
Phone
(763) 913-8261
Fax
(763) 210-5221
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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 19748 MN Primary

Addresses

Primary practice location

670 Cleveland Ave S
Saint Paul, MN 55116-1218

Mailing address

670 Cleveland Ave S
Saint Paul, MN 55116-1218
Phone (763) 913-8261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 21, 2023 through Dec 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19748MNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1871897199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161218",
            "telephone_number": "763-913-8261",
            "fax_number": "763-210-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161218",
            "telephone_number": "763-913-8261",
            "fax_number": "763-210-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMON-OLSEN",
        "first_name": "MEGAN",
        "middle_name": "L.",
        "credential": "M.S.W., LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.