Provider Demographics
NPI:1801300744
Name:OLSEEN, BARBARA J (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:OLSEEN
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 1:30474 MAUFF CT
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-7407
Mailing Address - Country:US
Mailing Address - Phone:303-518-1044
Mailing Address - Fax:
Practice Address - Street 1:460 COUNTY ROAD 43 # A
Practice Address - Street 2:
Practice Address - City:BAILEY
Practice Address - State:CO
Practice Address - Zip Code:80421
Practice Address - Country:US
Practice Address - Phone:855-277-3678
Practice Address - Fax:303-838-5867
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO991177101YP2500X
CO00991177101YP2500X
COCSW.009911771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional