Provider Demographics
NPI:1578698122
Name:NAUMAN, KATHY G (LSW)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:G
Last Name:NAUMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 STEINFELT RD
Mailing Address - Street 2:
Mailing Address - City:RED LION
Mailing Address - State:PA
Mailing Address - Zip Code:17356-8225
Mailing Address - Country:US
Mailing Address - Phone:717-755-5579
Mailing Address - Fax:
Practice Address - Street 1:300 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2107
Practice Address - Country:US
Practice Address - Phone:717-718-5813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011451L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASW011451LOtherSOCIAL WORK LICENSE