Healthcare Provider Details

I. General information

NPI: 1356272496
Provider Name (Legal Business Name): ALEXANDRA OLSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 WOODSIDE RD STE 301
REDWOOD CITY CA
94061-3458
US

IV. Provider business mailing address

475 W SAN CARLOS ST APT 3103
SAN JOSE CA
95110-2658
US

V. Phone/Fax

Practice location:
  • Phone: 650-262-1105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138554
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: