Provider Demographics
NPI:1407615776
Name:OLSEN, ASHLEY OLIVIA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:OLIVIA
Last Name:OLSEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:OLIVIA
Other - Last Name:CATALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:799 FOXON RD APT 1
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-1869
Mailing Address - Country:US
Mailing Address - Phone:860-514-7441
Mailing Address - Fax:
Practice Address - Street 1:501 LOMBARD ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-2910
Practice Address - Country:US
Practice Address - Phone:203-787-2207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT61191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical