Provider Demographics
NPI:1538399431
Name:OLKOWSKI, PAUL (LCSW)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:OLKOWSKI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 ROCK CREEK CIR
Mailing Address - Street 2:UNIT 286
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-4611
Mailing Address - Country:US
Mailing Address - Phone:303-817-4029
Mailing Address - Fax:
Practice Address - Street 1:2855 ROCK CREEK CIR
Practice Address - Street 2:UNIT 286
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-4611
Practice Address - Country:US
Practice Address - Phone:303-817-4029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-26
Last Update Date:2009-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9923521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical