Provider Demographics
NPI:1568679322
Name:KRECHMER, JOAN KANOVITZ (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:KANOVITZ
Last Name:KRECHMER
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 1:1 MERRIN RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-5028
Mailing Address - Country:US
Mailing Address - Phone:717-741-2130
Mailing Address - Fax:
Practice Address - Street 1:2000 HOLLYWOOD DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4210
Practice Address - Country:US
Practice Address - Phone:717-843-5011
Practice Address - Fax:717-846-3025
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW000389L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical