Healthcare Provider Details

I. General information

NPI: 1659062495
Provider Name (Legal Business Name): KATE E HARTMAN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 BUTLER AVE STE 300
LANCASTER PA
17601-6308
US

IV. Provider business mailing address

3551 NEW QUEEN ST
PHILADELPHIA PA
19129-1634
US

V. Phone/Fax

Practice location:
  • Phone: 717-875-4578
  • Fax:
Mailing address:
  • Phone: 717-406-7237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW140091
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW140091
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: