Provider Demographics
NPI:1477761948
Name:DEPAUL, NANCY G (MSW, LCSW, LMFT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:G
Last Name:DEPAUL
Suffix:
Gender:F
Credentials:MSW, LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 COMMONS COURT
Mailing Address - Street 2:THE COMMON AT CHADDS FORD
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317
Mailing Address - Country:US
Mailing Address - Phone:610-952-5717
Mailing Address - Fax:610-558-4061
Practice Address - Street 1:223 BYERS ROAD
Practice Address - Street 2:SUITE 6
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425
Practice Address - Country:US
Practice Address - Phone:610-952-5717
Practice Address - Fax:610-558-4061
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0130171041C0700X
PAMF000315106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist