Provider Demographics
NPI:1790039527
Name:OLSON, KARIN DEMING (LCSW)
Entity type:Individual
Prefix:MS
First Name:KARIN
Middle Name:DEMING
Last Name:OLSON
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 1:15219 W SUNSET BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3607
Mailing Address - Country:US
Mailing Address - Phone:310-459-6163
Mailing Address - Fax:310-459-4582
Practice Address - Street 1:15219 W SUNSET BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3607
Practice Address - Country:US
Practice Address - Phone:310-459-6163
Practice Address - Fax:310-459-4582
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS188861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical