Provider Demographics
NPI:1205263704
Name:MCLAUGHLIN, COURTNEY (LSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:MCLAUGHLIN
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 1:4244 PINE ST
Mailing Address - Street 2:APARTMENT 1 REAR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4011
Mailing Address - Country:US
Mailing Address - Phone:215-901-9023
Mailing Address - Fax:
Practice Address - Street 1:2900 WEST 9TH STREET
Practice Address - Street 2:COMMUNITY HOSPITAL
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19103-2098
Practice Address - Country:US
Practice Address - Phone:610-497-7237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASW127541OtherLSW