Active NPI
Olson Counseling
- Clinical Social Worker
- Roscoe, IL
National Provider Identifier
1891187514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149004808
- Legal business name
- OLSON COUNSELING
- Practice address
- 5334 Williams Dr
Roscoe, IL 61073-7320 - Phone
- (815) 871-0957
- Fax
- (866) 813-6462
- NPI assigned
- Mar 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Andrea K Olson, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (815) 871-0957
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149004808 | IL | Primary |
Addresses
Primary practice location
5334 Williams Dr
Roscoe, IL 61073-7320
Mailing address
5334 Williams Dr
Roscoe, IL 61073-7320
Phone (815) 871-0957
National Provider Directory
National Provider DirectoryLocations
5334 Williams Dr
Roscoe, IL 61073
Phone (815) 243-0739
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Roscoe, IL
- NPI 1033538210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425427200000",
"number": "1891187514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 WILLIAMS DR",
"city": "ROSCOE",
"state": "IL",
"postal_code": "610737320",
"telephone_number": "815-871-0957",
"fax_number": "866-813-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5334 WILLIAMS DR",
"city": "ROSCOE",
"state": "IL",
"postal_code": "610737320",
"telephone_number": "815-871-0957",
"fax_number": "866-813-6462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLSON COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-04",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "815-871-0957",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149004808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roscoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.