Provider Demographics
NPI:1346411055
Name:OLSON, JOYCE L (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:L
Last Name:OLSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 LONG POND DR
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-1124
Mailing Address - Country:US
Mailing Address - Phone:617-217-1948
Mailing Address - Fax:
Practice Address - Street 1:DENNIS TOWNE PLAZA
Practice Address - Street 2:900 ROUTE 134 UNIT 3-28A
Practice Address - City:SOUTH DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660
Practice Address - Country:US
Practice Address - Phone:603-785-7845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH18181041C0700X
MA1041C0700X
MA1164761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty