| Family Service Of Chester County | |
|
310 N Matlack St West Chester PA 19380-2620 | |
| (610) 696-4900 | |
| (610) 696-4476 |
| Full Name | Family Service Of Chester County |
|---|---|
| Speciality | Counselor |
| Location | 310 N Matlack St, West Chester, Pennsylvania |
| Authorized Official Name and Position | Burroughs Mack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6106964900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of Chester County 310 N Matlack St West Chester PA 19380-2620 Ph: (610) 696-4900 | Family Service Of Chester County 310 N Matlack St West Chester PA 19380-2620 Ph: (610) 696-4900 |
| NPI Number | 1487745386 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 05/18/2012 |
| Medicare PECOS PAC ID | 9537158472 |
|---|---|
| Medicare Enrollment ID | O20040507000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487745386 | NPI | - | NPPES |
| 100743608 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8001782831 (Pennsylvania) | Primary |
| Provider Name | Ednah Locke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477665750 PECOS PAC ID: 9830163476 Enrollment ID: I20040820000485 |
| Provider Name | Sharon L Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992807788 PECOS PAC ID: 6305904764 Enrollment ID: I20081029000348 |
| Provider Name | Nadine H Slavitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518351436 PECOS PAC ID: 8820420771 Enrollment ID: I20191114000201 |
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