Healthcare Provider Details

I. General information

NPI: 1598764516
Provider Name (Legal Business Name): ANGELA MARIE STRICKLER-GRUMBINE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA STRICKLER

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 CUMBERLAND ST
LEBANON PA
17042-5232
US

IV. Provider business mailing address

200 NORTH 7TH STREET
LEBANON PA
17046
US

V. Phone/Fax

Practice location:
  • Phone: 717-274-2741
  • Fax:
Mailing address:
  • Phone: 717-273-1710
  • Fax: 717-273-1416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013184
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: