Individual provider Active NPI

Christian Donald Olson, LMSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1902144587
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087786 Issued in MI
Practice address
15501 Metropolitan Pkwy
Suite 107
Clinton Township, MI 48036-1684
Phone
(586) 226-2822
Fax
(586) 226-2833
NPI assigned
Jan 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 6801087786 MI Primary

Addresses

Primary practice location

15501 Metropolitan Pkwy
Suite 107
Clinton Township, MI 48036-1684

Mailing address

16931 19 Mile Rd Ste 140
Clinton Township, MI 48038-4841
Phone (586) 226-2822

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087786MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1902144587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16931 19 MILE RD STE 140",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384841",
            "telephone_number": "586-226-2822",
            "fax_number": "586-226-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "SUITE 107",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-226-2822",
            "fax_number": "586-226-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTIAN",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.