MEDICARE: DEBORAH ANN OLIEN LSCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2401	KS

General Provider Information

NPI Number	:	1982663720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN OLIEN LSCSW

Provider Business Mailing Address
First Line	:	245 N WACO ST STE 220
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67202-1102
Country	:	US
Telephone Number	:	316-722-2138
Fax Number	:	833-464-2530

Provider Business Practice Location Address
First Line	:	1919 N AMIDON AVE
Second Line	:	STE 100
City	:	WICHITA
State	:	KS
Zip	:	67203-2117
Country	:	US
Telephone Number	:	316-660-7675
Fax Number	:	316-832-1571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	11/12/2025

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