Provider Demographics
NPI:1780776617
Name:SIGNS, DANIEL (LCSW)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SIGNS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 SCROGGY ROAD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19363-1180
Mailing Address - Country:US
Mailing Address - Phone:610-932-4530
Mailing Address - Fax:
Practice Address - Street 1:151 SCROGGY ROAD
Practice Address - Street 2:
Practice Address - City:OX FORD
Practice Address - State:PA
Practice Address - Zip Code:19363
Practice Address - Country:US
Practice Address - Phone:610-932-4530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0120801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA077452810002Medicaid
PA077452810002Medicaid