Individual provider · Type 1 NPI

Buckley Olsen

Clinical Social Worker · Statesville, NC

NPI number 1114873221 Active

Practice location

619 Sullivan Rd
Statesville, NC 28677-3437

Call (847) 454-6393 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023430 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114873221

Buckley Olsen's National Provider Identifier is 1114873221, issued on Mar 10, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Statesville, NC. The record was last updated on Apr 13, 2026.