Ellie Herman, LCSW
Social Worker, Clinical in Selinsgrove, PA. Individual provider (NPI-1).
NPI number1669950846
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1669950846
- Entity type
- Individual (NPI-1)
- Name
- Ellie Herman
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2018
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW021578 | PA | Yes |
| 1041C0700X | Social Worker, Clinical | – | PA |
Practice location
3 S Market St Ste 4Selinsgrove, PA 17870-1845
Phone 272-231-5452
Mailing address
3 S Market St Ste 4Selinsgrove, PA 17870-1845
Phone 272-231-5452
Other practice locations
1 Dent Dr
Lewisburg, PA 17837-2005
Lewisburg, PA 17837-2005
Phone 570-259-6827
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