Provider Demographics
NPI:1871501817
Name:SINGER, ELLIOTT DAVID (LCSW BCD)
Entity Type:Individual
Prefix:MR
First Name:ELLIOTT
Middle Name:DAVID
Last Name:SINGER
Suffix:
Gender:M
Credentials:LCSW BCD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 FOREST HILLS DRIVE
Mailing Address - Street 2:SUITE #19 EAST SHORE PSYCHIATRIC ASSOCIATES
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:14112
Mailing Address - Country:US
Mailing Address - Phone:717-540-4420
Mailing Address - Fax:717-540-4427
Practice Address - Street 1:2209 FOREST HILLS DRIVE
Practice Address - Street 2:SUITE #19 EAST SHORE PSYCHIATRIC ASSOCIATES
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:14112
Practice Address - Country:US
Practice Address - Phone:717-540-4420
Practice Address - Fax:717-540-4427
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO120561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
607198Medicare ID - Type Unspecified
S23038Medicare UPIN