Provider Demographics
NPI:1801128467
Name:OLCZAK, CATHERINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:OLCZAK
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SUNDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1801
Mailing Address - Country:US
Mailing Address - Phone:716-310-1518
Mailing Address - Fax:
Practice Address - Street 1:12 SUNDRIDGE DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1801
Practice Address - Country:US
Practice Address - Phone:716-310-1518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0462991041C0700X
VA09040106361041C0700X
MD269461041C0700X
GACSW0091231041C0700X
DCLC500822831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical