| Family Services Of Montgomery County Pa | |
|
3125 Ridge Pike Eagleville PA 19403-1407 | |
| (610) 630-2111 | |
| (610) 630-4003 |
| Full Name | Family Services Of Montgomery County Pa |
|---|---|
| Speciality | Social Worker |
| Location | 3125 Ridge Pike, Eagleville, Pennsylvania |
| Authorized Official Name and Position | Kelly Canally (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6106302111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services Of Montgomery County Pa 3125 Ridge Pike Eagleville PA 19403-1407 Ph: (610) 630-2111 | Family Services Of Montgomery County Pa 3125 Ridge Pike Eagleville PA 19403-1407 Ph: (610) 630-2111 |
| NPI Number | 1811926918 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 0547163214 |
|---|---|
| Medicare Enrollment ID | O20040517000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811926918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah F Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184891749 PECOS PAC ID: 2365512951 Enrollment ID: I20080609000735 |
| Provider Name | Laura A Mcfetridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619211315 PECOS PAC ID: 5597917534 Enrollment ID: I20121220000261 |
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