Provider Demographics
NPI:1902101983
Name:DREW, MARCIA M (LSW)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:M
Last Name:DREW
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 RICHARDSON DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4276
Mailing Address - Country:US
Mailing Address - Phone:717-509-9875
Mailing Address - Fax:717-509-9876
Practice Address - Street 1:3544 N PROGRESS AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9480
Practice Address - Country:US
Practice Address - Phone:717-901-7380
Practice Address - Fax:717-901-7383
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW126197101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASW126197OtherPA BUREAU OF PROFESSIONAL AND OCCUPATIONAL SOCIAL WORKERS