Provider Demographics
NPI:1750052841
Name:DROSSNER, MINDY RACHAEL (LSCW)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:RACHAEL
Last Name:DROSSNER
Suffix:
Gender:F
Credentials:LSCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-2104
Mailing Address - Country:US
Mailing Address - Phone:610-937-1385
Mailing Address - Fax:
Practice Address - Street 1:224 BIRCH DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-2104
Practice Address - Country:US
Practice Address - Phone:610-937-1385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0220771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical