Healthcare Provider Details

I. General information

NPI: 1467929463
Provider Name (Legal Business Name): BETHANY M COLON MSW, LSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 N PRINCE ST
LANCASTER PA
17603-3010
US

IV. Provider business mailing address

101 LOCUST LN
WILLOW STREET PA
17584-9564
US

V. Phone/Fax

Practice location:
  • Phone: 717-560-7917
  • Fax: 717-560-6452
Mailing address:
  • Phone: 717-371-6396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW026320
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW135588
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: