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

Individual provider Clinical Social Worker · NPI 1992453864

Stacy Olson, LICSW is a Clinical Social Worker in Grand Rapids, Minnesota. Qualified in 2019, 7 years ago. Practices with North Homes Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2022
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

413 SE 13th St
Grand Rapids, MN 55744-0015
Phone: (218) 327-3000
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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 28107 (MN)

Record details

NPI number1992453864
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address303 Se 1st St, Grand Rapids, MN 55744-3681

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Homes Inc. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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