Healthcare Provider Details

I. General information

NPI: 1275872368
Provider Name (Legal Business Name): WENDY B HALPERIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 09/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 5TH AVE
CHAMBERSBURG PA
17201-4219
US

IV. Provider business mailing address

22 ST PAUL DR STE 200
CHAMBERSBURG PA
17201-1033
US

V. Phone/Fax

Practice location:
  • Phone: 717-709-7930
  • Fax: 717-709-7931
Mailing address:
  • Phone: 717-709-7922
  • Fax: 717-261-4915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW014381
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: