Provider Demographics
NPI:1811971757
Name:OLSEN, JANIE F (MSW LCSW)
Entity type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:F
Last Name:OLSEN
Suffix:
Gender:
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 1:5208 E PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84310-9882
Mailing Address - Country:US
Mailing Address - Phone:412-585-0712
Mailing Address - Fax:
Practice Address - Street 1:5208 E PINEHURST DR
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:UT
Practice Address - Zip Code:84310-9882
Practice Address - Country:US
Practice Address - Phone:412-585-0712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0134651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA050650Medicare ID - Type Unspecified