MEDICARE: MS. DARLENE MARIE DIGORIO-HEVNER LCSW

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
1	101YM0800X	Mental Health Counselor	CW014625	PA
2	1041C0700X	Clinical Social Worker	CW014625	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1518954171	OTHER	PA	INDEPENDENCE BLUE CROSS
3	600529721- MAGELLAN	OTHER	PA	INDEPENDENCE BLUE CROSS

General Provider Information

NPI Number	:	1518954171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DARLENE MARIE DIGORIO-HEVNER LCSW

Provider Business Mailing Address
First Line	:	62 LONGVIEW CIR
Second Line	:
City	:	BERWYN
State	:	PA
Zip	:	19312-2501
Country	:	US
Telephone Number	:	484-868-0479
Fax Number	:	610-889-4839

Provider Business Practice Location Address
First Line	:	326 W LANCASTER AVE
Second Line	:	SUITE 211
City	:	ARDMORE
State	:	PA
Zip	:	19003-1228
Country	:	US
Telephone Number	:	484-868-0479
Fax Number	:	610-889-4839

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	03/24/2016

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