Provider Demographics
NPI:1518954171
Name:DIGORIO-HEVNER, DARLENE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:MARIE
Last Name:DIGORIO-HEVNER
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 1:62 LONGVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-2501
Mailing Address - Country:US
Mailing Address - Phone:484-868-0479
Mailing Address - Fax:610-889-4839
Practice Address - Street 1:326 W LANCASTER AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1228
Practice Address - Country:US
Practice Address - Phone:484-868-0479
Practice Address - Fax:610-889-4839
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014625101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019370700001Medicaid
PA1518954171OtherINDEPENDENCE BLUE CROSS
PA600529721- MAGELLANOtherINDEPENDENCE BLUE CROSS
PA1518954171OtherINDEPENDENCE BLUE CROSS