Active NPI
Derek Olsen
- Clinical Social Worker
- Sheridan, WY
National Provider Identifier
1891552709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PCSW-1281
- Practice address
- 3322 Strahan Pkwy
Sheridan, WY 82801-9162 - Phone
- (307) 672-2044
- NPI assigned
- Mar 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PCSW-1281 | WY | Primary |
Addresses
Primary practice location
3322 Strahan Pkwy
Sheridan, WY 82801-9162
Mailing address
3322 Strahan Pkwy
Sheridan, WY 82801-9162
Phone (619) 683-3100
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 |
|---|---|---|---|
| PCSW-1281 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1891552709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 STRAHAN PKWY",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828019162",
"telephone_number": "619-683-3100",
"fax_number": "307-672-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 STRAHAN PKWY",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828019162",
"telephone_number": "307-672-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "DEREK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-06",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "PCSW-1281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.