Provider Demographics
NPI:1205040326
Name:NOLAN, MAUREEN (MSW)
Entity Type:Individual
Prefix:PROF
First Name:MAUREEN
Middle Name:
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SPRING CT
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1442
Mailing Address - Country:US
Mailing Address - Phone:215-860-0848
Mailing Address - Fax:
Practice Address - Street 1:12 SPRING CT
Practice Address - Street 2:
Practice Address - City:WASHINGTON CROSSING
Practice Address - State:PA
Practice Address - Zip Code:18977-1442
Practice Address - Country:US
Practice Address - Phone:215-860-0848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW005986E1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical