Provider Demographics
NPI:1033539978
Name:LUDWIG, MARTA (LSW)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 PRICE AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1809
Mailing Address - Country:US
Mailing Address - Phone:607-205-4163
Mailing Address - Fax:
Practice Address - Street 1:101 N. MERION AVE.
Practice Address - Street 2:BRYN MAWR COLLEGE HEALTH CENTER
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:607-205-4163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129653104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker