Provider Demographics
NPI:1427944693
Name:OLSON, MEAGAN MAE (LSW)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:MAE
Last Name:OLSON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 FISHBURN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-8478
Mailing Address - Country:US
Mailing Address - Phone:814-883-0791
Mailing Address - Fax:
Practice Address - Street 1:222 FISHBURN HILL RD
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-8478
Practice Address - Country:US
Practice Address - Phone:814-883-0791
Practice Address - Fax:814-883-0791
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131077104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker