Active NPI
Richard Olson, L.C.S.W.
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149012156
- Practice address
- 333 W 57TH St Apt 102
New York, NY 10019-3122 - Phone
- (917) 685-1181
- NPI assigned
- Apr 7, 2007
- Last updated
- Aug 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 149012156 | IL | Primary |
Addresses
Primary practice location
333 W 57TH St Apt 102
New York, NY 10019-3122
Mailing address
1300 W Belmont Ave
Ste 211
Chicago, IL 60657-3200
Phone (773) 880-2317
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636966 | Other | IL | BLUECROSS BLUESHIELD |
| 600071671 | Other | IL | MAGELLIAN |
| 469951 | Other | IL | VALUEOPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9520 63Rd Rd
Suite J
Rego Park, NY 11374-1145
Phone 718459122518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Psychotherapy LCSW Services P.C. | Clinical | Current | Accepting new patients |
| Olson and Hamilton Psychotherapy Services Inc. | Clinical | Current | Accepting new patients |
| Richard Olson LCSW PLLC | Clinical | Current | Accepting new patients |
| Terio Psychotherapy Services LCSW, P.C. | Clinical | Current | Accepting new patients |
Locations
1300 W Belmont Ave
Ste 211
Chicago, IL 60657
Phone (773) 880-2308
333 W 57th St
Apt 102
New York, NY 10019
Phone (212) 977-5835
9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone 718459122518
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Rego Park, NY
- NPI 1366806705
-
- Clinical Social Worker
- Rego Park, NY
- NPI 1861877359
-
- Clinical Social Worker
- New York, NY
- NPI 1720634140
-
- Clinical Social Worker
- Chicago, IL
- NPI 1619170057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1912020884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE",
"address_2": "STE 211",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573200",
"telephone_number": "773-880-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 57TH ST APT 102",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193122",
"telephone_number": "917-685-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149012156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "01636966",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLIAN",
"identifier": "600071671",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "469951",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.