Provider Demographics
NPI:1003486085
Name:OLSON, ASHLEY NOEL (LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NOEL
Last Name:OLSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 2ND ST STE 225
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3030
Mailing Address - Country:US
Mailing Address - Phone:855-427-2778
Mailing Address - Fax:707-927-0069
Practice Address - Street 1:1001 2ND ST STE 225
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3030
Practice Address - Country:US
Practice Address - Phone:855-427-2778
Practice Address - Fax:707-927-0069
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1007601041C0700X
AZ205991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical