National Provider Identifier

Susan Marie Olesen

Susan Marie Olesen is listed in the NPPES registry with a primary specialty of Social Worker in Bath, NY and a listed phone number of (607) 664-4000.

NPI 1568163376Bath, NYSocial Worker

Profile Overview

NPI
1568163376
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
March 17, 2023
Last Updated
March 17, 2023

Practice Location

  • 76 Veterans Ave Rm 202
  • Bath, NY 14810-0810

Phone: (607) 664-4000

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1568163376
Entity Type
Individual
Last Name
Olesen
First Name
Susan
Middle Name
Marie
Mailing Street Address
76 Veterans Ave Rm 202
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-0810
Mailing Country
US
Practice Street Address
76 Veterans Ave Rm 202
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4000
Enumeration Date
March 17, 2023
Last Updated
March 17, 2023
Sex
Female
Sole Proprietor
No
Certification Date
March 17, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)