Provider Demographics
NPI:1578204178
Name:OLESEN, VERONICA ALYSE (LCSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:ALYSE
Last Name:OLESEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8417 RIZZA ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-3095
Mailing Address - Country:US
Mailing Address - Phone:904-574-2355
Mailing Address - Fax:
Practice Address - Street 1:1745 SHEA CENTER DR STE 488
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-1537
Practice Address - Country:US
Practice Address - Phone:904-574-2355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW215961041C0700X
COCSW.099294411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical