Healthcare Provider Details
I. General information
NPI: 1174748230
Provider Name (Legal Business Name): LEE ANNE HARTWELL MSW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/16/2007
Last Update Date: 04/28/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
61 E ASHLAND ST
DOYLESTOWN PA
18901
US
IV. Provider business mailing address
436 N MAIN ST # 1024
DOYLESTOWN PA
18901-3404
US
V. Phone/Fax
- Phone: 215-273-6460
- Fax:
- Phone: 215-273-6460
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CW013997 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 2028587000 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | PERSONAL CHOICE |
| # 2 | |
| Identifier | 7766216 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AETNA |
| # 3 | |
| Identifier | 270558000 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | MAGELLA HEALTH SERVICES |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: