IndividualActive
Mark Olson, LCSW
NPI 1407884216 · Clinical Social Worker · Gray, ME
Provider details
- NPI number
- 1407884216
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LC1018 (ME)
Practice location
56 Charlonate Dr
Gray, ME 04039-9764
Phone: (207) 657-2203
Fax: (207) 657-2013
Mailing address
56 Charlonate Dr
Gray, ME 04039-9764
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.