Provider Demographics
NPI:1992063119
Name:OLSHEFSKI, HOLLY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:
Last Name:OLSHEFSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HO
Other - Middle Name:
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:2130 PINE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6535
Mailing Address - Country:US
Mailing Address - Phone:215-779-6644
Mailing Address - Fax:
Practice Address - Street 1:505 S 22ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1246
Practice Address - Country:US
Practice Address - Phone:215-779-6644
Practice Address - Fax:215-779-6644
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0166801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical