NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) – Clinical Social Worker, NPI 1023503430

NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) is a healthcare provider. based in Hudson, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LICSW. They hold a License No. 131138-121 (WI). The NPI Number for NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) is 1023503430

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NANCY JANE OLSON-ENGEBRETH (MSW, LICSW)
NPI
1023503430
Phone
(715) 954-5300
Address
2501 HANLEY RD STE 101
Enumeration Date
27 June 2018
Last Update Date
2 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6129256033
Graduation Year
2016 (10 years ago)
PAC ID
8921427287
Group Practice PAC ID
0749171320
Professional Enrollment ID
I20201006001610
Address ID
MN554164758ST4240XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:7State licenses:3Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for NANCY JANE OLSON-ENGEBRETH (MSW, LICSW)

  • Hanley Road, Hudson, Saint Croix County, Wisconsin, 54016-9303, United States

    HUDSON, WI 540168786

    Phone: (715) 954-5300

    Fax: (715) 954-5301

    Type: Location

  • 4240, Park Glen Road, Triangle, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554165427

    Phone: (612) 925-6033

    Fax: (612) 925-8496

    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: 2020-10-06

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
I20201006001610IClinical Social WorkerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour15917$0
90834Psychotherapy, 45 minutes2111$0
View full utilization report →

Insurance plans in this area (ZIP 54016)

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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: 0749171320View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for NANCY JANE OLSON-ENGEBRETH (MSW, LICSW)?
NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) — NPI 1023503430 — is the standard way to identify this listing.
Can I rely on NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) being an active provider?
As of the registry snapshot, NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) is marked active.
What is NANCY JANE OLSON-ENGEBRETH (MSW, LICSW)'s specialty?
The listing groups NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) based?
NANCY JANE OLSON-ENGEBRETH (MSW, LICSW) is tied to Hudson, Wisconsin in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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