Provider Demographics
NPI:1235477860
Name:DELAFIELD, MARCIA E (LCSW)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:E
Last Name:DELAFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:E
Other - Last Name:DEALAFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3903 HARTZDALE DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-7836
Mailing Address - Country:US
Mailing Address - Phone:717-763-8650
Mailing Address - Fax:717-763-8653
Practice Address - Street 1:3903 HARTZDALE DR
Practice Address - Street 2:SUITE 305
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7836
Practice Address - Country:US
Practice Address - Phone:717-763-8650
Practice Address - Fax:717-763-8653
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0169411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical