Active NPI
Raymond J Olszewski Jr., LMSW
- Clinical Social Worker
- Columbia, SC
National Provider Identifier
1922068766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6047
- Practice address
- 15 Medical Park Rd
Suite 103
Columbia, SC 29203-8003 - Phone
- (803) 434-4300
- Fax
- (803) 255-3451
- NPI assigned
- Mar 24, 2006
- Last updated
- Oct 24, 2007
- 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 | 6047 | SC | Primary |
Addresses
Primary practice location
15 Medical Park Rd
Suite 103
Columbia, SC 29203-8003
Mailing address
15 Medical Park Rd
Suite 300
Columbia, SC 29203-8003
Phone (803) 255-3417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0686 | Medicaid | SC |
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 |
|---|---|---|---|
| 6047 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Specialty Clinics - Neuropsychiatry and Behavioral Science | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Columbia, SC
- NPI 1821020116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1922068766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MEDICAL PARK RD",
"address_2": "SUITE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038003",
"telephone_number": "803-255-3417",
"fax_number": "803-255-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MEDICAL PARK RD",
"address_2": "SUITE 103",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038003",
"telephone_number": "803-434-4300",
"fax_number": "803-255-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSZEWSKI",
"first_name": "RAYMOND",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "6047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QM0686",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.