Provider Demographics
NPI:1124540380
Name:CORNERSTONE COUNSELING
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW.OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMETANA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:570-828-7050
Mailing Address - Street 1:1869 ROUTE 739
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DINGMANS FERRY
Mailing Address - State:PA
Mailing Address - Zip Code:18328-3409
Mailing Address - Country:US
Mailing Address - Phone:570-828-7050
Mailing Address - Fax:610-672-9495
Practice Address - Street 1:1869 ROUTE 739
Practice Address - Street 2:SUITE 4
Practice Address - City:DINGMANS FERRY
Practice Address - State:PA
Practice Address - Zip Code:18328-3409
Practice Address - Country:US
Practice Address - Phone:570-828-7050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0182111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty