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NPI Code Detail

MEDICARE: MRS. CAROLYN SUE HEATH LSW

MEDICARE:  MRS. CAROLYN SUE HEATH  LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor014772PA
2101YP1600XPastoral Counselor014772PA
3104100000XSocial Worker014772PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250047763OTHERPACAPITAL BLUE CROSS
3810554001OTHERPAAETNA
4810554001OTHERPAMAIL HANDLERS
5810554001OTHERPAQUEST
6810554001OTHERPAUNITED BEHAVIORAL HLTH
7810554001OTHERPAHIGHMARK FEDERAL
8128194OTHERPAVALUE OPTIONS
9195761000OTHERPAMAGELLAN
102033298OTHERPACIGNA
11250976OTHERPACOMPSYCH
12810554001OTHERPAALLIANCE WORK PARTNERS
13810554001OTHERPAHEALTHNET TRICARE
14810554001OTHERPAPRIME SOURCE
15810554001OTHERPATEAM EAP

General Provider Information

NPI Number : 1285635516
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLYN SUE HEATH LSW
Provider Business Mailing Address
First Line : 47 W POMFRET ST
Second Line :
City : CARLISLE
State : PA
Zip : 17013-3217
Country : US
Telephone Number : 717-258-0214
Fax Number : 717-258-3158
Provider Business Practice Location Address
First Line : 47 W POMFRET ST
Second Line :
City : CARLISLE
State : PA
Zip : 17013-3217
Country : US
Telephone Number : 717-258-0214
Fax Number : 717-258-3158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/11/2010

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Directions to “ MRS. CAROLYN SUE HEATH LSW” Practice Location

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