Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark J Olson, LICSW

Individual provider Clinical Social Worker · NPI 1750724522

Mr. Mark J Olson, LICSW is a Clinical Social Worker in Minnetonka, Minnesota. Qualified in 2003, 23 years ago. Practices with Healthwise Psychology PA, a 33-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2013
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

11708 Wayzata Blvd
Minnetonka, MN 55305-2014
Phone: (952) 544-0964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16377 (MN)

Record details

NPI number1750724522
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESApril 11, 2013
Mailing address9700 W 16th St, St Louis Park, MN 55426-1816

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Healthwise Psychology Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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