Provider Demographics
NPI:1942240825
Name:WOODRING, CONSTANCE ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:ANN
Last Name:WOODRING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 STATION AVE
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034
Mailing Address - Country:US
Mailing Address - Phone:610-838-1080
Mailing Address - Fax:
Practice Address - Street 1:600 CREEKSIDE DR
Practice Address - Street 2:609
Practice Address - City:SANATOGA
Practice Address - State:PA
Practice Address - Zip Code:19464
Practice Address - Country:US
Practice Address - Phone:610-327-1631
Practice Address - Fax:610-327-1199
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0138701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical