Healthcare Provider Details

I. General information

NPI: 1700373362
Provider Name (Legal Business Name): ERIC SCOTT KLEIN PHD, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2018
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 FREEDOM TER
PALMER PA
18045-7442
US

IV. Provider business mailing address

84 FREEDOM TER
PALMER PA
18045-7442
US

V. Phone/Fax

Practice location:
  • Phone: 215-913-5395
  • Fax:
Mailing address:
  • Phone: 215-913-5395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW133613
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: