Provider Demographics
NPI:1578037248
Name:HALL, AUDREY NAJOR (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:NAJOR
Last Name:HALL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:AUDREY
Other - Middle Name:RITA
Other - Last Name:NAJOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW LCSW
Mailing Address - Street 1:COATESVILLE VA MEDICAL CENTER
Mailing Address - Street 2:1400 BLACKHORSE HILL RD - 57B-221 (116)
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2096
Mailing Address - Country:US
Mailing Address - Phone:610-384-7711
Mailing Address - Fax:610-466-2238
Practice Address - Street 1:COATESVILLE VA MEDICAL CENTER
Practice Address - Street 2:1400 BLACKHORSE HILL RD - 57B-221 (116)
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-2096
Practice Address - Country:US
Practice Address - Phone:610-384-7711
Practice Address - Fax:610-466-2238
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0149211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical