Provider Demographics
NPI:1790890945
Name:OLSHESKI, SARAH LOUISE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:OLSHESKI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 W FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:TOPTON
Mailing Address - State:PA
Mailing Address - Zip Code:19562-1732
Mailing Address - Country:US
Mailing Address - Phone:610-682-0672
Mailing Address - Fax:
Practice Address - Street 1:25 LLANFAIR CIR
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-3342
Practice Address - Country:US
Practice Address - Phone:610-649-6769
Practice Address - Fax:610-649-4190
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0132981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA831906PYDMedicare ID - Type Unspecified
PAS32714Medicare UPIN