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NPI Code Detail

MEDICARE: ELIZABETH SHINGLETON OLSON LCSW

MEDICARE: ELIZABETH SHINGLETON OLSON LCSW
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
11041C0700XClinical Social WorkerSW5082FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417290990
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SHINGLETON OLSON LCSW
Provider Business Mailing Address
First Line : 13350 W COLONIAL DR STE 340
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3977
Country : US
Telephone Number : 407-654-4433
Fax Number : 407-926-0209
Provider Business Practice Location Address
First Line : 13350 W COLONIAL DR STE 340
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3977
Country : US
Telephone Number : 407-654-4433
Fax Number : 407-926-0209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2013
Last Update Date : 04/22/2026

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