Provider Demographics
NPI:1215172614
Name:OLIEN, JANE ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ELIZABETH
Last Name:OLIEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-4471
Mailing Address - Country:US
Mailing Address - Phone:281-475-6153
Mailing Address - Fax:
Practice Address - Street 1:959 BLUE RIDGE DR
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4471
Practice Address - Country:US
Practice Address - Phone:281-475-6153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-13
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX382171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611966Medicare PIN