Provider Demographics
NPI:1073752929
Name:OLIKER, MARIAN ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:ELIZABETH
Last Name:OLIKER
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 1:147 S RIVER ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4551
Mailing Address - Country:US
Mailing Address - Phone:831-479-9865
Mailing Address - Fax:
Practice Address - Street 1:147 S RIVER ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4551
Practice Address - Country:US
Practice Address - Phone:831-479-9865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS152721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical