Provider Demographics
NPI:1639128036
Name:STONER, MEADE ALLEN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MEADE
Middle Name:ALLEN
Last Name:STONER
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 1:2421 WILLOW STREET PIKE N
Mailing Address - Street 2:
Mailing Address - City:WILLOW STREET
Mailing Address - State:PA
Mailing Address - Zip Code:17584-9225
Mailing Address - Country:US
Mailing Address - Phone:717-464-1450
Mailing Address - Fax:717-464-0890
Practice Address - Street 1:2421 WILLOW STREET PIKE N
Practice Address - Street 2:
Practice Address - City:WILLOW STREET
Practice Address - State:PA
Practice Address - Zip Code:17584-9225
Practice Address - Country:US
Practice Address - Phone:717-464-1450
Practice Address - Fax:717-464-0890
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0163921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical