MEDICARE: DIANE OLSON LMSW

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	104100000X	Social Worker	6801067112	MI

General Provider Information

NPI Number	:	1649203563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE OLSON LMSW

Provider Business Mailing Address
First Line	:	28000 DEQUINDRE RD
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48092-2468
Country	:	US
Telephone Number	:	586-753-0405
Fax Number	:	586-753-0404

Provider Business Practice Location Address
First Line	:	5111 AUTO CLUB DR
Second Line	:	#120
City	:	DEARBORN
State	:	MI
Zip	:	48126-2749
Country	:	US
Telephone Number	:	313-583-0735
Fax Number	:	313-583-0751

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1760346662 — MARIA ELIZABETH HOLDER
Practice Location Address:

5111 AUTO CLUB DR
DEARBORN, MI
48126-2749

Practice Phone: 313-406-5056
Practice Fax:

1164974358 — XAVIER ROBERTSON
Practice Location Address:

5111 AUTO CLUB DR STE 200
DEARBORN, MI
48126-2749

Practice Phone: 313-406-5056
Practice Fax:

1922026939 — MS. SHEILA LOUISE GIBSON MA, LLP
Practice Location Address:

5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749

Practice Phone: 313-583-0735
Practice Fax: 313-583-0751

1942233861 — SUSAN G MATLAS LMSW, LMFT
Practice Location Address:

5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749

Practice Phone: 313-583-0735
Practice Fax: 313-583-0751

1952334815 — ALAN WARBELOW MA, LLP
Practice Location Address:

5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749

Practice Phone: 313-583-0735
Practice Fax: 313-583-0751

1972536621 — MS. GISELLE MARIE ST. LOUIS MA, LPC
Practice Location Address:

5111 AUTO CLUB DR
DEARBORN, MI
48126-2749

Practice Phone: 313-583-0735
Practice Fax: 313-583-0751

Directions to “ DIANE OLSON LMSW” 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 © 2007-2025 (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.