MEDICARE: LAUREN K OLSEN LCADC

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	101YM0800X	Mental Health Counselor
2	175T00000X	Peer Specialist	37LC00251400	NJ
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00251400	NJ

General Provider Information

NPI Number	:	1174788335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN K OLSEN LCADC

Provider Business Mailing Address
First Line	:	1603 CAMMAR DR
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-4703
Country	:	US
Telephone Number	:	609-819-5360
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 MAIN ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10307-1226
Country	:	US
Telephone Number	:	609-819-5360
Fax Number	:

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

Provider Enumeration Date	:	07/26/2008
Last Update Date	:	07/26/2024

Similar Medicare Providers

1518153303 — MS. JOANNE G KLAGES LCSW
Practice Location Address:

127 MAIN ST
STATEN ISLAND, NY
10307-1226

Practice Phone: 718-966-5255
Practice Fax:

1609309996 — DR. JACQUELINE MARIE BARRESI DPT
Practice Location Address:

169 MAIN ST
STATEN ISLAND, NY
10307-1226

Practice Phone: 718-619-1652
Practice Fax:

1871606152 — PROSCRIPT PHARMACY LLC.
Practice Location Address:

2556 ARTHUR KILL RD
STATEN ISLAND, NY
10309-1226

Practice Phone: 866-646-1780
Practice Fax: 718-966-6410

1649535535 — DEMEO INC.
Practice Location Address:

1226 MASON AVE
STATEN ISLAND, NY
10306-5116

Practice Phone: 917-667-8925
Practice Fax:

1942645734 — PAULINE TAYLOR
Practice Location Address:

65 CASSIDY PL
STATEN ISLAND, NY
10301-1226

Practice Phone: 646-239-0782
Practice Fax:

1912326935 — MRS. ANITA DEMEO MSED
Practice Location Address:

1226 MASON AVEUNE
STATEN ISLAND, NY
10306

Practice Phone: 718-979-0499
Practice Fax:

Directions to “ LAUREN K OLSEN LCADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.