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

Active since October 18, 2007PECOS Enrolled
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: August 16, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Ann Olsen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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 3 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.