Provider Demographics
NPI:1508921271
Name:ORENBUCH, BILLIE LEE P (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:BILLIE LEE
Middle Name:P
Last Name:ORENBUCH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:BILLIE
Other - Middle Name:P
Other - Last Name:ORENBUCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1540 BRIAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1203
Mailing Address - Country:US
Mailing Address - Phone:610-642-1900
Mailing Address - Fax:610-642-5413
Practice Address - Street 1:1369 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3411
Practice Address - Country:US
Practice Address - Phone:215-884-1776
Practice Address - Fax:215-884-0171
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACSW0133121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA044204LDJMedicare ID - Type UnspecifiedUNDER 811466