MEDICARE: HANNA ELIZABETH WITHERELL 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	SW143350	PA

General Provider Information

NPI Number	:	1932070158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNA ELIZABETH WITHERELL LSW

Provider Business Mailing Address
First Line	:	1128 SMITH LN
Second Line	:	HANNAWITHERELL@GMAIL.COM
City	:	TIONESTA
State	:	PA
Zip	:	16353
Country	:	US
Telephone Number	:	814-671-2420
Fax Number	:

Provider Business Practice Location Address
First Line	:	1134 LIBERTY ST
Second Line	:
City	:	FRANKLIN
State	:	PA
Zip	:	16323-1223
Country	:	US
Telephone Number	:	814-346-1312
Fax Number	:

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

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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