Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Olsen, LCSW

Individual provider Clinical Social Worker · NPI 1104223510

Nicholas Olsen, LCSW is a Clinical Social Worker in Kenosha, Wisconsin. Qualified in 2013, 13 years ago. Practices with Advance Clinical Services, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6121 Green Bay Rd Ste 200
Kenosha, WI 53142-2931
Phone: (262) 674-3718
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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 8919 (WI)

Record details

NPI number1104223510
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 1, 2014
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address6121 Green Bay Rd Ste 200, Kenosha, WI 53142-2931

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advance Clinical Services — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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