Provider Demographics
NPI:1760958839
Name:HART, AARON JOSEPH (LCSW)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:JOSEPH
Last Name:HART
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 1:1001 STATE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1835
Mailing Address - Country:US
Mailing Address - Phone:181-458-0174
Mailing Address - Fax:
Practice Address - Street 1:1001 STATE ST STE 102
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1835
Practice Address - Country:US
Practice Address - Phone:814-580-1743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0230271041C0700X
PASW132474104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker