Provider Demographics
NPI:1619019965
Name:CASTRO, ORLANDO (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:
Last Name:CASTRO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CABLE HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-1016
Mailing Address - Country:US
Mailing Address - Phone:215-715-7839
Mailing Address - Fax:215-884-0171
Practice Address - Street 1:900 CABLE HILL DRIVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064
Practice Address - Country:US
Practice Address - Phone:215-715-7839
Practice Address - Fax:610-604-0107
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014138101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health