MEDICARE: ERIN NOLL REICH 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
1	1041C0700X	Clinical Social Worker	11129-123	WI

General Provider Information

NPI Number	:	1710835319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN NOLL REICH OLSON LCSW

Provider Business Mailing Address
First Line	:	311 N JEFFERSON ST
Second Line	:
City	:	WATERFORD
State	:	WI
Zip	:	53185-4013
Country	:	US
Telephone Number	:	262-497-0996
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 N JEFFERSON ST
Second Line	:
City	:	WATERFORD
State	:	WI
Zip	:	53185-4013
Country	:	US
Telephone Number	:	262-497-0996
Fax Number	:

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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