Healthcare Provider Details

I. General information

NPI: 1215379318
Provider Name (Legal Business Name): JAMES OWEN RIMEL JR. MSW, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 LINGLESTOWN RD STE 214
HARRISBURG PA
17112-8607
US

IV. Provider business mailing address

5001 MAURETANIA AVE
HARRISBURG PA
17109-5531
US

V. Phone/Fax

Practice location:
  • Phone: 717-412-4908
  • Fax:
Mailing address:
  • Phone: 717-579-5462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW128542
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: