Eric John Oleson, LCSW

Individual provider Active NPI Clinical Social Worker · Hudson, NC

NPI 1336320951 · NPPES record last updated Aug 25, 2011

Key facts

NPI
1336320951
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C000459 (NC)
Practice address
415 Main St
Hudson, NC 28638-2328
Phone
(828) 726-8265
Fax
(828) 327-8796
NPI assigned
Nov 26, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000459 NC Yes

Addresses

Primary practice location

415 Main St
Hudson, NC 28638-2328

Mailing address

415 Main St
Hudson, NC 28638-2328
Phone (828) 726-8265

Other identifiers

IdentifierTypeStateIssuer
6106807MedicaidNC

Other providers in Hudson, NC

All providers in Hudson, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.