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Kay Frances Altavilla, LCSW

Individual provider Active NPI Clinical Social Worker · South Abington Township, PA

NPI 1306018015 · NPPES record last updated Apr 2, 2008

Key facts

NPI
1306018015
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW014992 (PA)
Practice address
537 Venard Rd
South Abington Township, PA 18411-1249
Phone
(570) 587-5747
Fax
(570) 586-0030
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CW014992PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdesmont Behavioral Health Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014992 PA Yes

Addresses

Primary practice location

537 Venard Rd
South Abington Township, PA 18411-1249

Mailing address

537 Venard Rd
South Abington Township, PA 18411-1249
Phone (570) 587-5747

Other providers in South Abington Township, PA

All providers in South Abington Township, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.