MEDICARE: HEATHER M OLSEN

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	SWI.LW.70049913	WA
2	104100000X	Social Worker	LMSW-39693	ID

General Provider Information

NPI Number	:	1457293813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER M OLSEN

Provider Business Mailing Address
First Line	:	1576 N CHEHALIS ST
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-7688
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1576 N CHEHALIS ST
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-7688
Country	:	US
Telephone Number	:	208-517-7132
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ HEATHER M OLSEN ” Practice Location

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