| Joanne Pantanella, Lcsw, Llc | |
|
1899 Lititz Pike Suite 7 Lancaster PA 17601-6518 | |
| (717) 519-8882 | |
| (717) 519-8887 |
| Full Name | Joanne Pantanella, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1899 Lititz Pike, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Joanne M Pantanella-crumling (OWNER) |
| Authorized Official Contact | 7175198882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Pantanella, Lcsw, Llc 1899 Lititz Pike Suite 7 Lancaster PA 17601-6518 Ph: (717) 519-8882 | Joanne Pantanella, Lcsw, Llc 1899 Lititz Pike Suite 7 Lancaster PA 17601-6518 Ph: (717) 519-8882 |
| NPI Number | 1699195040 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 8628297413 |
|---|---|
| Medicare Enrollment ID | O20140909001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699195040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CW015470 (Pennsylvania) | Primary |
| Provider Name | Joanne M Pantanella-crumling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073635314 PECOS PAC ID: 0547361347 Enrollment ID: I20070724000263 |
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