Provider Demographics
NPI:1033133442
Name:DIONNA, ELLEN (MSW,LCSW)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:DIONNA
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:EAST
Other - Last Name:HOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW,LCSW
Mailing Address - Street 1:1700 PALOMINO RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-3642
Mailing Address - Country:US
Mailing Address - Phone:717-781-3269
Mailing Address - Fax:717-846-3907
Practice Address - Street 1:907 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2831
Practice Address - Country:US
Practice Address - Phone:717-781-3269
Practice Address - Fax:717-846-3907
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0153181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical