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NPI Code Detail

MEDICARE: MRS. MALEITA MARGUERITE OLSON LCSW

MEDICARE: MRS. MALEITA MARGUERITE 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
1101YM0800XMental Health CounselorCW017544PA
2103K00000XBehavior AnalystBH000073PA
31041C0700XClinical Social WorkerCW017544PA

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 : 1427324177
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MALEITA MARGUERITE OLSON LCSW
Provider Business Mailing Address
First Line : 390 REED RD FL 1
Second Line :
City : BROOMALL
State : PA
Zip : 19008-4008
Country : US
Telephone Number : 484-450-6476
Fax Number : 484-224-3398
Provider Business Practice Location Address
First Line : 390 REED RD FL 1
Second Line :
City : BROOMALL
State : PA
Zip : 19008-4008
Country : US
Telephone Number : 484-450-6476
Fax Number : 484-224-3398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2012
Last Update Date : 04/02/2020

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Directions to “ MRS. MALEITA MARGUERITE OLSON LCSW” Practice Location

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