MEDICARE: COLEEN OLSSON 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	I.2203418	OH
2	1041C0700X	Clinical Social Worker	CW016668	PA

General Provider Information

NPI Number	:	1952520892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLEEN OLSSON LCSW

Provider Business Mailing Address
First Line	:	1675 ROUTE 228 STE 1104
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5307
Country	:	US
Telephone Number	:	724-544-1931
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 ROUTE 228 STE 1104
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5307
Country	:	US
Telephone Number	:	724-544-1931
Fax Number	:

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	03/18/2025

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Directions to “ COLEEN OLSSON LCSW” Practice Location

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