Individual
JOANNE MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LISW-S, LCSW
Contact information
Practice address
1005 W 9TH AVE STE B, KING OF PRUSSIA, PA 19406-1202
(610) 892-3800
Mailing address
1005 W 9TH AVE STE B, KING OF PRUSSIA, PA 19406-1202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018672
PA
1041C0700X
Clinical Social Worker
I-0008960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333459
ANTHEM PIN NUMBER
OH
Enumeration date
07/13/2006
Last updated
04/09/2024
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