Provider Demographics
NPI:1467526830
Name:OLSON, CAROL BYRD (MSW ACSW LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:BYRD
Last Name:OLSON
Suffix:
Gender:F
Credentials:MSW ACSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3367
Mailing Address - Country:US
Mailing Address - Phone:540-635-6119
Mailing Address - Fax:
Practice Address - Street 1:64 CHESTER ST.
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3367
Practice Address - Country:US
Practice Address - Phone:540-635-6119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040011081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical