Individual
JOANN ELLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 SUSQUENITA HILL RD, DUNCANNON, PA 17020-9537
(717) 877-9831
(717) 834-9563
Mailing address
37 SUSQUENITA HILL RD, DUNCANNON, PA 17020-9537
(717) 877-9831
(717) 834-9563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013843
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019616660002
—
PA
01
—
640487
MEDICARE PTAN
PA
Enumeration date
08/29/2006
Last updated
08/09/2012
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