Provider Demographics
NPI:1578603825
Name:CHILDREN'S AID SOCIETY
Entity Type:Organization
Organization Name:CHILDREN'S AID SOCIETY
Other - Org Name:THE LEHMAN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANIQUE
Authorized Official - Middle Name:WASHINGTON
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:717-624-4461
Mailing Address - Street 1:343 LINCOLN WAY W
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-1003
Mailing Address - Country:US
Mailing Address - Phone:717-624-4461
Mailing Address - Fax:
Practice Address - Street 1:343 LINCOLN WAY W
Practice Address - Street 2:
Practice Address - City:NEW OXFORD
Practice Address - State:PA
Practice Address - Zip Code:17350-1003
Practice Address - Country:US
Practice Address - Phone:717-624-4461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007604110005Medicaid
PA1007604110012Medicaid
PA1007604110001Medicaid