KENDRA M OLSON LICSW
NPI 1194030932
Social Worker in Saint Louis Park, MN

Q: What is Kendra Olson's NPI number?

The NPI number for Kendra Olson is 1194030932. It was assigned to this individual provider in the NPPES registry on August 17, 2010.

Q: What is Kendra Olson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Kendra Olson enrolled in Medicare?

No. Kendra Olson has opted out of Medicare through October 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kendra Olson was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since August 17, 2010Opted out of Medicare · through Oct 14, 2026

3800 PARK NICOLLET BLVD, 3RD FLOOR NORTH, MENTAL HEALTH, SAINT LOUIS PARK, MN 55416(952) 993-3300 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kendra M Olson Licsw NPPES

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

KENDRA M OLSON LICSW (NPI 1194030932) is an individual social worker in Saint Louis Park, Minnesota, licensed in Minnesota (15703) and active in the NPI registry since August 2010. She has opted out of Medicare through October 14, 2026.

NPPES Registry Identity

NPI1194030932

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKENDRA M OLSONCredential: LICSW

Location Address3800 PARK NICOLLET BLVD, 3RD FLOOR NORTH, MENTAL HEALTHSaint Louis Park, MN 55416-2527

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-3300

Sole ProprietorNo

Enumeration DateAugust 17, 2010

Last NPPES UpdateMarch 9, 2021

NPPES CertifiedMarch 9, 2021

✔ NPI 1194030932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MN · 15703

Definition

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 15703 (MN)

3800 PARK NICOLLET BLVD, Saint Louis Park, MN 55416

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kendra M Olson Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 14, 2024 through October 14, 2026.

Opt-Out Effective DateOctober 14, 2024

Opt-Out In Effect ThroughOctober 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

PETER MCCORMICK SCHAUB PSYD, LP

Psychologist

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3123

DAVID J NUTZ MD

Physical Medicine & Rehabilitation

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3800

GLENN MATFIN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416

Hennepin County (952) 993-3048

KELLY C GRECO PAC

Physician Assistant

3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3260

KARLA SUSAN ROSENMAN MD

Dermatology

3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3821

DR. KRISTIN A KUNZMAN PSY.D.

Psychologist (Clinical)

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3393

DR. ALISON M LANG M.D.

Dermatology

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3789

DR. CHUNG M LEE M.D.

Radiology (Diagnostic Radiology)

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3212

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 Kendra Olson's NPI number?

The NPI number for Kendra Olson is 1194030932. It was assigned to this individual provider in the NPPES registry on August 17, 2010.

Where is Kendra Olson located?

Kendra Olson practices at 3800 Park Nicollet Blvd 3rd Floor North, Mental Health, Saint Louis Park, MN 55416. The listed phone number is (952) 993-3300.

What is Kendra Olson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kendra Olson enrolled in Medicare?

No. Kendra Olson has opted out of Medicare through October 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kendra Olson was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.