Healthcare Provider Details

I. General information

NPI: 1811148034
Provider Name (Legal Business Name): DAVID M EINHORN MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 09/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 W ELM AVE
HANOVER PA
17331-5125
US

IV. Provider business mailing address

625 W ELM AVE
HANOVER PA
17331-5125
US

V. Phone/Fax

Practice location:
  • Phone: 717-632-4900
  • Fax: 717-632-3657
Mailing address:
  • Phone: 717-632-4900
  • Fax: 717-632-3657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW016345
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: