Healthcare Provider Details

I. General information

NPI: 1528004009
Provider Name (Legal Business Name): NANCY STEIN HESSENTHALER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 JAYMOR RD STE B150
SOUTHAMPTON PA
18966-3853
US

IV. Provider business mailing address

928 JAYMOR RD STE B150
SOUTHAMPTON PA
18966-3853
US

V. Phone/Fax

Practice location:
  • Phone: 215-947-8654
  • Fax:
Mailing address:
  • Phone: 215-947-8654
  • Fax: 215-938-7607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013671
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: