KENDRA M OLSON LICSW
NPI 1194030932
Social Worker in Saint Louis Park, MN
- Individual
- Female
- Social Worker
- Opted-Out Medicare
About KENDRA OLSON
This page provides the complete NPI Profile along with additional information for Kendra Olson, a provider established in Saint Louis Park, Minnesota with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1194030932 assigned on August 2010. The practitioner's primary taxonomy code is 104100000X with license number 15703 (MN). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1194030932 Verify this NPI
- Provider Name
- KENDRA M OLSON LICSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3800 PARK NICOLLET BLVD 3RD FLOOR NORTH, MENTAL HEALTH SAINT LOUIS PARK, MN 55416
- Location Phone
- (952) 993-3300
- Mailing Address
- 8170 33RD AVE S # MS 21110Q BLOOMINGTON, MN 55425
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2010
- Last Update Date
- 03-09-2021
- Code Navigator
A social worker like Kendra Olson helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kendra Olson opted out of Medicare effective on 10-14-2024 until 10-14-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 15703
- License State
- MN
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 15703 (MN) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-14-2024
Opt-Out End Date: 10-14-2026
Eligible to Order and Refer? No
Reviews for KENDRA M OLSON LICSW
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194030932, enumerated as an "individual" on August 17, 2010.
The provider is located at 3800 PARK NICOLLET BLVD 3RD FLOOR NORTH, MENTAL HEALTH SAINT LOUIS PARK, MN 55416 and the phone number is (952) 993-3300.
Social Worker with taxonomy code 104100000X.
