Provider Demographics
NPI:1497091136
Name:HALL, GEORGE (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:HALL
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 EXTON COMMONS
Mailing Address - Street 2:COUNCIL FOR RELATIONSHIPS-EXTON OFFICE
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341
Mailing Address - Country:US
Mailing Address - Phone:215-382-6680
Mailing Address - Fax:484-341-8008
Practice Address - Street 1:317 EXTON CMNS
Practice Address - Street 2:COUNCIL FOR RELATIONSHIPS-EXTON OFFICE
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2450
Practice Address - Country:US
Practice Address - Phone:215-382-6680
Practice Address - Fax:484-341-8008
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-28
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0157251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical