MEDICARE: KATHERINE MAUSOLF 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
1	104100000X	Social Worker	SW138568	PA

General Provider Information

NPI Number	:	1639939952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE MAUSOLF LSW

Provider Business Mailing Address
First Line	:	3601 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-8741
Country	:	US
Telephone Number	:	717-821-4438
Fax Number	:	717-340-4232

Provider Business Practice Location Address
First Line	:	3601 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-8741
Country	:	US
Telephone Number	:	717-821-4438
Fax Number	:	717-340-4232

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

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	03/21/2024

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