Provider Demographics
NPI:1669814679
Name:LEW, DANIELLE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:LEW
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 CARLISLE ST
Mailing Address - Street 2:STE 35
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1122
Mailing Address - Country:US
Mailing Address - Phone:443-834-6655
Mailing Address - Fax:
Practice Address - Street 1:1000 CARLISLE ST
Practice Address - Street 2:STE 35
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1122
Practice Address - Country:US
Practice Address - Phone:443-834-6655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD187101041C0700X
PACW0179241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical