Provider Demographics
NPI:1457605982
Name:STEELE, TRICIA LYNNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:LYNNE
Last Name:STEELE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:TRICIA
Other - Middle Name:LYNNE
Other - Last Name:TURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:835 BEAUTYS RUN RD
Mailing Address - Street 2:
Mailing Address - City:COGAN STATION
Mailing Address - State:PA
Mailing Address - Zip Code:17728-8488
Mailing Address - Country:US
Mailing Address - Phone:570-560-4715
Mailing Address - Fax:
Practice Address - Street 1:57 E 4TH ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-6330
Practice Address - Country:US
Practice Address - Phone:570-560-4715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0174761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA297234Medicare PIN