Provider Demographics
NPI:1639939952
Name:MAUSOLF, KATHERINE (LSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MAUSOLF
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 1:3601 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8741
Mailing Address - Country:US
Mailing Address - Phone:717-821-4438
Mailing Address - Fax:717-340-4232
Practice Address - Street 1:3601 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8741
Practice Address - Country:US
Practice Address - Phone:717-821-4438
Practice Address - Fax:717-340-4232
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138568104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker