Provider Demographics
NPI:1003258815
Name:EICHELBERGER, STEFANIA M (LCSW)
Entity Type:Individual
Prefix:
First Name:STEFANIA
Middle Name:M
Last Name:EICHELBERGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 ALLENDALE WAY
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-8403
Mailing Address - Country:US
Mailing Address - Phone:717-668-9883
Mailing Address - Fax:
Practice Address - Street 1:5666 CLYMER RD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-3264
Practice Address - Country:US
Practice Address - Phone:267-990-8690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0177381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical