Healthcare Provider Details
I. General information
NPI: 1275950024
Provider Name (Legal Business Name): ANGELA J. SLEICHTER LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/18/2014
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG PA
17201-7301
US
IV. Provider business mailing address
111 CHAMBERS HILL DR STE 200
CHAMBERSBURG PA
17201-7304
US
V. Phone/Fax
- Phone: 717-709-7930
- Fax: 717-709-7931
- Phone: 717-709-7922
- Fax: 717-263-2055
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 19733 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CW015890 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: