Active NPI
Marjorie Elyn Olson, LMSW
- Clinical Social Worker
- White Lake, MI
National Provider Identifier
1952401101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801080566
- Practice address
- 609 Parkhurst Dr
White Lake, MI 48386-3392 - Phone
- (248) 698-3408
- Fax
- (248) 698-3405
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- 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 | 6801080566 | MI | Primary |
Addresses
Primary practice location
609 Parkhurst Dr
White Lake, MI 48386-3392
Mailing address
609 Parkhurst Dr
White Lake, MI 48386-3392
Phone (248) 698-3408
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008974710 | Other | MI | BCBS PIN |
| PO0279486 | Other | MI | MEDICARE RR CARRIER PIN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952401101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 PARKHURST DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483863392",
"telephone_number": "248-698-3408",
"fax_number": "248-698-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 PARKHURST DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483863392",
"telephone_number": "248-698-3408",
"fax_number": "248-698-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MARJORIE",
"middle_name": "ELYN",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801080566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "8008974710",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR CARRIER PIN",
"identifier": "PO0279486",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.