Samantha Olson, LMFT, SAC is a
Marriage & Family Therapist based in Union Grove, Wisconsin. Samantha Olson is licensed to practice in Wisconsin (license number 1287-124) and her current practice location is
4380 67th Dr # 1028, Union Grove, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 397-9122.
NPI number for Samantha Olson is 1740786912 and her current mailing address is 4380 67th Dr # 1028, Union Grove, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740786912.
Healthcare Provider's Profile
Full Name | Samantha Olson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 4380 67th Dr # 1028, Union Grove, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740786912
- Provider Enumeration Date: 04/04/2018
- Last Update Date: 12/08/2023
Medical Identifiers
Medical identifiers for Samantha Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740786912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 632-228 (Wisconsin) | Secondary |
106H00000X | Marriage & Family Therapist | 1287-124 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Olson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Olson, LMFT, SAC 4380 67th Dr # 1028, Union Grove, WI 53182-9338 Ph: (262) 397-9122 | Samantha Olson, LMFT, SAC 4380 67th Dr # 1028, Union Grove, WI 53182-9338 Ph: (262) 397-9122 |
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