Provider Demographics
NPI:1518297316
Name:DANCIS, EILEEN KATES (LCSW)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:KATES
Last Name:DANCIS
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 1:15 MEREDITH RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3611
Mailing Address - Country:US
Mailing Address - Phone:610-283-8778
Mailing Address - Fax:
Practice Address - Street 1:15 MEREDITH RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3611
Practice Address - Country:US
Practice Address - Phone:610-283-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0164771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical