Provider Demographics
NPI:1417369059
Name:OLSCHEWSKI, ERICKA (CSW, TRS)
Entity Type:Individual
Prefix:MS
First Name:ERICKA
Middle Name:
Last Name:OLSCHEWSKI
Suffix:
Gender:F
Credentials:CSW, TRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4473 W 13400 N
Mailing Address - Street 2:
Mailing Address - City:CORNISH
Mailing Address - State:UT
Mailing Address - Zip Code:84308
Mailing Address - Country:US
Mailing Address - Phone:435-213-3123
Mailing Address - Fax:
Practice Address - Street 1:4473 W 13400 N
Practice Address - Street 2:
Practice Address - City:CORNISH
Practice Address - State:UT
Practice Address - Zip Code:84308
Practice Address - Country:US
Practice Address - Phone:435-213-3123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT86229033502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker