Provider Demographics
NPI:1497139976
Name:WOLFORD, DEBRA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:WOLFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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 1:100 WINDING CREEK BLVD STE 3
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050
Practice Address - Country:US
Practice Address - Phone:717-590-7283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0197071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical