Provider Demographics
NPI:1538362561
Name:OLSON, CARLA K (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:K
Last Name:OLSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3116 INGERSOLL AVE
Mailing Address - Street 2:#4
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-3900
Mailing Address - Country:US
Mailing Address - Phone:515-778-7989
Mailing Address - Fax:515-278-0223
Practice Address - Street 1:3116 INGERSOLL AVE
Practice Address - Street 2:#4
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-3900
Practice Address - Country:US
Practice Address - Phone:515-778-7989
Practice Address - Fax:515-278-0223
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04011104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker