KELLY ANN OLSEN LCSW
NPI 1699964312
Social Worker - Clinical in Fairview, TN

Active since October 18, 2007PECOS EnrolledAccepts Medicare Assignment
2340 FAIRVIEW BLVD STE 100, FAIRVIEW, TN 37062(629) 205-3018(629) 205-3020 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Jul 23, 2024 (2 updates tracked since 2024).

About Kelly Ann Olsen Lcsw NPPES

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

KELLY ANN OLSEN LCSW (NPI 1699964312) is an individual clinical provider in Fairview, Tennessee, licensed in Tennessee (10422) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1699964312
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANN OLSENCredential: LCSW
Location Address2340 FAIRVIEW BLVD STE 100Fairview, TN 37062-9458
Mailing Address2340 Fairview Blvd Ste 100Fairview, TN 37062-9458 · (629) 205-3018 · Fax (629) 205-3020
Fax(629) 205-3020
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 18, 2007
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1699964312 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 TN · 10422
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.
2340 FAIRVIEW BLVD STE 100, Fairview, TN 37062

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Ann Olsen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426512732
PECOS Enrollment IDI20260708002160
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Olsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family
5194 HIGHWAY 100, SUITE 106
Lyles, TN 37098
  • Reassigned Medicare billing, Tennessee enrollment
  • 54 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Family Medicine
2340 FAIRVIEW BLVD STE 100
FAIRVIEW, TN 37062
Nurse Practitioner (Family)
2340 FAIRVIEW BLVD STE 100
FAIRVIEW, TN 37062
Clinic/Center (Rural Health)
2340 FAIRVIEW BLVD STE 100
FAIRVIEW, TN 37062
Physician Assistant
2340 FAIRVIEW BLVD STE 100
FAIRVIEW, TN 37062
Social Worker (Clinical)
2340 FAIRVIEW BLVD STE 100
FAIRVIEW, TN 37062

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 Kelly Olsen's NPI number?

The NPI number for Kelly Olsen is 1699964312. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Where is Kelly Olsen located?

Kelly Olsen practices at 2340 Fairview Blvd Ste 100, Fairview, TN 37062. The listed phone number is (629) 205-3018.

What is Kelly Olsen's specialty?

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

Is Kelly Olsen enrolled in Medicare?

Yes. Kelly Olsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Olsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Olsen reassigns Medicare benefits to Dickson Medical Associates, PC (Lyles, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Olsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Olsen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Kelly Olsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Olsen was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.