THERESA L OLSON (LISW-S) – Clinical Social Worker, NPI 1255848404

THERESA L OLSON (LISW-S) is a healthcare provider. based in Wellington, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. S.0600739 (OH). The NPI Number for THERESA L OLSON (LISW-S) is 1255848404

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
THERESA L OLSON (LISW-S)
NPI
1255848404
Phone
(440) 828-0012
Address
508 Dickson St Ste 2
Enumeration Date
9 January 2018
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408280012
Graduation Year
2016 (10 years ago)
PAC ID
5991118523
Group Practice PAC ID
9436597200
Professional Enrollment ID
I20201228002394
Address ID
OH440901300WE508XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for THERESA L OLSON (LISW-S)

  • 508 Dickson St Ste 2

    Wellington, OH 440901300

    Phone: (440) 828-0012

    Type: Location

  • 1744, Payne Avenue, Playhouse Square, Cleveland, Cuyahoga County, Ohio, 44114, United States

    CLEVELAND, OH 441142910

    Phone: (216) 583-0615

    Fax: (216) 361-8646

    Type: Location

  • 15575, Pinewood Drive, Strongsville, Cuyahoga County, Ohio, 44149, United States

    STRONGSVILLE, OH 441495620

    Phone: (216) 538-8649

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201228002394IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44090)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436597200View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Does THERESA L OLSON (LISW-S) have a public NPI I can cite?
Public records show THERESA L OLSON (LISW-S) under NPI 1255848404.
Is THERESA L OLSON (LISW-S) currently accepting referrals based on NPI status?
Registry metadata lists THERESA L OLSON (LISW-S) as active.
Which specialty label fits THERESA L OLSON (LISW-S)?
NPPES ties THERESA L OLSON (LISW-S) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is THERESA L OLSON (LISW-S) tied to Wellington, Ohio?
If you are local to Wellington, Ohio, THERESA L OLSON (LISW-S) may be relevant to your search.
Why is information missing for THERESA L OLSON (LISW-S)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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