Individual
ANNA UMHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1886 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 735-1920
(717) 735-1921
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW137609
PA
1041C0700X
Clinical Social Worker
Primary
CW023806
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103886800
—
PA
01
—
15106600
CAQH
—
01
—
CW023806
STATE LICENSE
PA
01
—
SW137609
STATE LICENSE
PA
Enumeration date
02/18/2021
Last updated
07/25/2023
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