Individual provider Active NPI

Angela Dunn Olsen, LISW-CP

  • Clinical Social Worker
  • Greenwood, SC
National Provider Identifier
1881982544
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6558 Issued in SC
Practice address
1547 Parkway Ste 100
Greenwood, SC 29646-4081
Phone
(864) 889-9363
NPI assigned
Jul 15, 2011
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6558 SC
Clinical Social Worker 1041C0700X 6558 SC Primary

Addresses

Primary practice location

1547 Parkway Ste 100
Greenwood, SC 29646-4081

Mailing address

1547 Parkway Ste 100
Greenwood, SC 29646-4081
Phone (864) 229-5526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150709000018 SC Practitioner - Clinical Social Worker 3577664853 Reassigns benefits to 3 organizations
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6558SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Future Psych Solutions, LLC CurrentSince Sep 1, 2016 Accepting new patients
Myrtle Beach Counseling Center CurrentSince Apr 17, 2023 Accepting new patients
Charleston Counseling Center PC Clinical CurrentSince Apr 17, 2023 Accepting new patients
TMS Neurohealth South Carolina LLC CurrentSince Jun 1, 2019 Accepting new patients
Premier Counseling Clinical CurrentSince Nov 22, 2016 Accepting new patients
Lexington Richland Alcohol & Drug Abuse Council, Inc. PastSince Nov 26, 2023 Accepting new patients
Gregory S. Smith & Associates, P.a. Clinical PastSince Jun 27, 2011 Accepting new patients

Locations

1911 Gadsden St
Ste 101
Columbia, SC 29201
Phone (803) 335-5232

4711 Forest Dr
Ste 3
Columbia, SC 29206
Phone (646) 450-8990

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Organizations & group practices 7

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1881982544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 PARKWAY STE 100",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464081",
            "telephone_number": "864-229-5526",
            "fax_number": "844-617-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 PARKWAY STE 100",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464081",
            "telephone_number": "864-889-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ANGELA",
        "middle_name": "DUNN",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "6558",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.