Provider Demographics
NPI:1235247487
Name:OLEARY, JANA MICHELLE (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:JANA
Middle Name:MICHELLE
Last Name:OLEARY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 WATERFORD DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-7320
Mailing Address - Country:US
Mailing Address - Phone:254-743-2956
Mailing Address - Fax:254-743-0178
Practice Address - Street 1:5105 WATERFORD DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-7320
Practice Address - Country:US
Practice Address - Phone:254-743-2956
Practice Address - Fax:254-743-0178
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32999104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker