Individual provider Active NPI

Jacquelyne Olson, LMSW

  • Clinical Social Worker
  • Howell, MI
National Provider Identifier
1932874534
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117156 Issued in MI
Practice address
10075 Bergin Rd
Howell, MI 48843-7049
Phone
(810) 444-2484
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 6801117156 MI Primary

Addresses

Primary practice location

10075 Bergin Rd
Howell, MI 48843-7049

Mailing address

10075 Bergin Rd
Howell, MI 48843-7049

Other practice location 1

31560 Schoolcraft Rd
Livonia, MI 48150-1805
Phone (586) 243-3814

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

LicenseStateTypeSpecialty
6801117156MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unwritten Endings, LLC Clinical CurrentSince Apr 30, 2021 Accepting new patients

Locations

10075 Bergin Rd
Howell, MI 48843
Phone (810) 279-0515

10075 Bergin Rd
Ste C
Howell, MI 48843
Phone (810) 444-2484

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1932874534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 BERGIN RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 BERGIN RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437049",
            "telephone_number": "810-444-2484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31560 Schoolcraft Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501805",
            "country_code": "US",
            "telephone_number": "586-243-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JACQUELYNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.