Provider Demographics
NPI:1023499811
Name:PEART, ELIZABETH R (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:R
Last Name:PEART
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 1:424 WEADLEY RD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3748
Mailing Address - Country:US
Mailing Address - Phone:484-868-9870
Mailing Address - Fax:484-970-4181
Practice Address - Street 1:150 S WARNER RD STE 130
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2826
Practice Address - Country:US
Practice Address - Phone:484-868-9870
Practice Address - Fax:484-970-4181
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0193311041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical