Healthcare Provider Details

I. General information

NPI: 1275463135
Provider Name (Legal Business Name): KASSANDRA LOUISE AHNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 DELAWARE AVE
FOUNTAIN HILL PA
18015-1280
US

IV. Provider business mailing address

510 DELAWARE AVE
FOUNTAIN HILL PA
18015-1280
US

V. Phone/Fax

Practice location:
  • Phone: 610-417-0463
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: