Healthcare Provider Details

I. General information

NPI: 1255024071
Provider Name (Legal Business Name): ALLISON LAKEHART-CHILDS MSW LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2023
Last Update Date: 05/29/2023
Certification Date: 05/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGHLANDS DR
LITITZ PA
17543-7693
US

IV. Provider business mailing address

1752 OLD LINE RD
MANHEIM PA
17545-9222
US

V. Phone/Fax

Practice location:
  • Phone: 717-368-6123
  • Fax:
Mailing address:
  • Phone: 717-368-6123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW140254
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: