Pamela J Olson, LCSW
Individual provider Active NPI Clinical Social Worker · Mount Pocono, PA
NPI 1720097199 · NPPES record last updated Dec 7, 2007
Key facts
- NPI
- 1720097199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW013922 (PA)
- Practice address
- 4 Fork St Ste 3080
Mount Pocono, PA 18344-1209 - Phone
- (570) 894-2446
- Fax
- (570) 894-4511
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030439R | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamela J. Olson LCSW, Caadc | Clinical | Past |
Accepting new patients |
| Advanced Community Service Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013922 | PA | Yes |
| Clinical Social Worker | 1041C0700X | 030439R | NY |
Addresses
Primary practice location
4 Fork St Ste 3080
Mount Pocono, PA 18344-1209
Mailing address
86 Horned Owl Lane
Tobyhanna, PA 18466-9519
Phone (570) 894-2446
Other providers in Mount Pocono, PA
- Kate Carson Muirhead
- Magehn Newell
- Quentin Thomas Novinger
- Amanda Louise Nowakowski
- Ronald Charles O'Boyle
- Robert Alan Panzik
- Cheril Parmar
- Jessica Pedersen
- Gregory David Pence
- Pennsylvania Associates
All providers in Mount Pocono, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.