Provider Demographics
NPI:1790462737
Name:PAWLOWSKI, LISA L (LSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:L
Last Name:PAWLOWSKI
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 1:43 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1019
Mailing Address - Country:US
Mailing Address - Phone:610-349-1046
Mailing Address - Fax:
Practice Address - Street 1:43 N 11TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1019
Practice Address - Country:US
Practice Address - Phone:610-349-1046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW122477104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker