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 |