Individual
CHARLENE M PEACHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
283 S BUTLER RD, LEBANON, PA 17042-8939
(800) 932-0359
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013783
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103744270
—
PA
01
—
11657369
CAQH
—
01
—
CW013783
STATE LICENSE
PA
Enumeration date
12/12/2006
Last updated
05/16/2024
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