Provider Demographics
NPI:1992039523
Name:PILSITZ, LISA JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:JEAN
Last Name:PILSITZ
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 1:2145 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1005
Mailing Address - Country:US
Mailing Address - Phone:717-395-3560
Mailing Address - Fax:717-775-1490
Practice Address - Street 1:355 N 21ST ST
Practice Address - Street 2:STE 103
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-3707
Practice Address - Country:US
Practice Address - Phone:717-395-3560
Practice Address - Fax:717-775-1490
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0171221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical