Provider Demographics
NPI:1528730082
Name:OLKEN, JAMIE MARTIN (LCSW,ACSW)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:MARTIN
Last Name:OLKEN
Suffix:
Gender:F
Credentials:LCSW,ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 E 76TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2825
Mailing Address - Country:US
Mailing Address - Phone:917-608-2136
Mailing Address - Fax:
Practice Address - Street 1:136 E 76TH ST APT 10D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2831
Practice Address - Country:US
Practice Address - Phone:917-608-2136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9510407301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical