Olson, Michelle M

Olson, Michelle M is an individual health care provider with primary practice located at 2600 Oakland Ave , Elkhart IN 46517-1533. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Olson, Michelle M can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
2600 Oakland Ave Elkhart IN 46517-1533
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000831A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006638A Indiana

Profile Details

NPI number 1316125065
LBN Legal business name Olson, Michelle M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2008
Last updated Jun 13th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316125065 NPPES
Indiana MEDICAID 200264420

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