Provider Demographics
NPI:1265785125
Name:LAUDERMILCH, NANCY EBLING (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:EBLING
Last Name:LAUDERMILCH
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 1:25 N 32ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2918
Mailing Address - Country:US
Mailing Address - Phone:717-730-9782
Mailing Address - Fax:717-730-9854
Practice Address - Street 1:25 N 32ND ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2918
Practice Address - Country:US
Practice Address - Phone:717-730-9782
Practice Address - Fax:717-730-9854
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0162611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical