Provider Demographics
NPI:1578328696
Name:OLSON, FELICITY (LSW)
Entity Type:Individual
Prefix:
First Name:FELICITY
Middle Name:
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 1:8460 STACY DR APT 202
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80260-5085
Mailing Address - Country:US
Mailing Address - Phone:719-299-8345
Mailing Address - Fax:
Practice Address - Street 1:8460 STACY DR APT 202
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80260-5085
Practice Address - Country:US
Practice Address - Phone:719-299-8345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009924831104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker