Provider Demographics
NPI:1093924649
Name:OLSEN, BILLIE MARLENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:MARLENE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1632 GUNSMITH DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-3303
Mailing Address - Country:US
Mailing Address - Phone:813-957-3244
Mailing Address - Fax:813-872-1530
Practice Address - Street 1:7823 N DALE MABRY HWY STE 104
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3273
Practice Address - Country:US
Practice Address - Phone:813-957-3244
Practice Address - Fax:813-315-6877
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW73831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical