Provider Demographics
NPI:1770026171
Name:OLSON, SARAH MARIE (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARIE
Last Name:OLSON
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N. 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:KS
Mailing Address - Zip Code:66434-2243
Mailing Address - Country:US
Mailing Address - Phone:785-740-4647
Mailing Address - Fax:
Practice Address - Street 1:120 N 6TH ST
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:KS
Practice Address - Zip Code:66434-2243
Practice Address - Country:US
Practice Address - Phone:785-740-4647
Practice Address - Fax:785-746-0385
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-02
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical