Healthcare Provider Details

I. General information

NPI: 1386037430
Provider Name (Legal Business Name): KELSEY MCCREIGHT MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELSEY BEACH MSW

II. Dates (important events)

Enumeration Date: 03/13/2015
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1886 ROHRERSTOWN RD
LANCASTER PA
17601-2322
US

IV. Provider business mailing address

785 5TH AVE STE 3
CHAMBERSBURG PA
17201-4232
US

V. Phone/Fax

Practice location:
  • Phone: 717-735-1920
  • Fax: 717-735-1921
Mailing address:
  • Phone: 717-263-9555
  • Fax: 717-709-6529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW132163
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW019860
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: