BUCKLEY OLSEN
NPI 1114873221
Social Worker - Clinical in Statesville, NC

Active since March 10, 2026
619 SULLIVAN RD, STATESVILLE, NC 28677(847) 454-6393 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2026, Apr 6, 2026, Mar 26, 2026 and 1 more (4 updates tracked since 2026).

About Buckley Olsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKLEY OLSEN (NPI 1114873221) is an individual clinical provider in Statesville, North Carolina, licensed in North Carolina (P023430) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1114873221
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBUCKLEY OLSEN
Location Address619 SULLIVAN RDStatesville, NC 28677-3437
Mailing Address619 Sullivan RdStatesville, NC 28677-3437
Sole ProprietorYes
Enumeration DateMarch 10, 2026
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1114873221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P023430
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
619 SULLIVAN RD, Statesville, NC 28677

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
619 SULLIVAN RD
STATESVILLE, NC 28677
Social Worker (Clinical)
619 SULLIVAN RD
STATESVILLE, NC 28677
Counselor (Addiction (Substance Use Disorder))
619 SULLIVAN RD
STATESVILLE, NC 28677
Registered Nurse
619 SULLIVAN RD
STATESVILLE, NC 28677
Social Worker (Clinical)
619 SULLIVAN RD
STATESVILLE, NC 28677
Nurse Practitioner (Family)
619 SULLIVAN RD
STATESVILLE, NC 28677
Family Medicine
619 SULLIVAN RD
STATESVILLE, NC 28677
Physician Assistant (Medical)
619 SULLIVAN RD
STATESVILLE, NC 28677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buckley Olsen's NPI number?

The NPI number for Buckley Olsen is 1114873221. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Buckley Olsen located?

Buckley Olsen practices at 619 Sullivan Rd, Statesville, NC 28677. The listed phone number is (847) 454-6393.

What is Buckley Olsen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Buckley Olsen was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.