ABBIE OLSON , NPI 1104160266 — KEARNEY (NE)

NPI 1104160266

7+ Years Experience Individual

ABBIE OLSON

11/15/2012
PROVIDER ENUMERATION DATE
11/15/2012
LAST UPDATE DATE
1104160266
NPI NUMBER

About ABBIE OLSON

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

ABBIE OLSON is a provider established in KEARNEY, NE. The NPI number of ABBIE OLSON is 1104160266 and was assigned on 11/15/2012. The practitioners primary taxonomy code is: 104100000X .

Mailing address

  • City: KEARNEY
  • State: NE
  • Postal code: 688478134
  • Phone: 3082375951
  • Fax: 3082344018
  • Address: 3810 CENTRAL AVE

Primary Practice Address

  • Region : KEARNEY, NE
  • NPI : 1104160266
  • Phone : 3082375951
  • Fax : 3082344018
  • Postalcode : 688478134
  • Address : 3810 CENTRAL AVE

Provider taxonomy - Social Worker

  • Taxonomy code: 104100000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

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.

Contacts:

Click to Show Map
  • ABBIE OLSON
  • Address : 3810 CENTRAL AVE
  • Region : KEARNEY, NE
  • NPI : 1104160266
  • Phone : 3082375951
  • Fax : 3082344018
  • Postalcode : 688478134

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address3810 CENTRAL AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameKEARNEY
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNE
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code688478134
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3082375951
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3082344018
The fax number associated with the location address of the provider being identified.
NPI1104160266
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1104100000X
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.
Provider Enumeration Date11/15/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated11/15/2012
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ABBIE OLSON
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address3810 CENTRAL AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameKEARNEY
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNE
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code688478134
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3082375951
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3082344018
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1104100000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Social Worker
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.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

Share this page?