Provider Demographics
| NPI: | 1780735407 |
|---|---|
| Name: | LENAPE VALLEY FOUNDATION |
| Entity type: | Organization |
| Organization Name: | LENAPE VALLEY FOUNDATION |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SHARON |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | CURRAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LCSW, CAADC |
| Authorized Official - Phone: | 215-345-5300 |
| Mailing Address - Street 1: | 500 N WEST ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | DOYLESTOWN |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 18901-2366 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 215-345-5300 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 500 N WEST ST |
| Practice Address - Street 2: | |
| Practice Address - City: | DOYLESTOWN |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 18901-2366 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 215-345-5300 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-01-16 |
| Last Update Date: | 2020-02-24 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
| No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 251K00000X | Agencies | Public Health or Welfare | ||
| No | 251S00000X | Agencies | Community/Behavioral Health | Group - Multi-Specialty | |
| No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | Group - Multi-Specialty | |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| PA | 267090000 | Other | MAGELLAN BEHAVIORAL HEALT |
| PA | 100772252 | Medicaid | |
| PA | 078691000 | Other | MAGELLAN BEHAVIORAL HEALT |
| PA | 167434000 | Other | MAGELLAN BEHAVIORAL HEALT |
| PA | 078691000 | Other | MAGELLAN BEHAVIORAL HEALT |