Carole Laurie Olderman, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

189 Storrs Road, 06250
Natchaug Hospital,
Mansfield, CT 06250

Phone

(860) 456-1311

NPI assigned

Jun 14, 2010

Last updated

Jun 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  CT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1992026900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 STORRS ROAD",
            "address_2": "189 STORRS ROAD NATCHAUG HOSPITAL,",
            "city": "MANSFIELD",
            "state": "CT",
            "postal_code": "06250",
            "telephone_number": "860-456-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 STORRS ROAD, 06250",
            "address_2": "NATCHAUG HOSPITAL,",
            "city": "MANSFIELD",
            "state": "CT",
            "postal_code": "06250",
            "telephone_number": "860-456-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDERMAN",
        "first_name": "CAROLE",
        "middle_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allisa Laford I
• Maurice Samuel Lapointe, LMFT
• Christina Eymard Moore, PSYD
• Natchaug Hospital
• Northeast Center for Youth and Families
• Janet J Parks, PT
• Pasquale Joseph Perfetto, MS COUNSELING LPC
• Jean-Luc Poulard, LMSW
• Wesley Stein
• Stephanie L Welsh, CNM

• Social Worker in Mansfield, CT
• Providers in Mansfield, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.

Verify at the official NPI Registry.