Jaime Coale, LCSW

Individual provider Active NPI Clinical Social Worker · Aston, PA

NPI 1770955460 · NPPES record last updated Oct 21, 2015

Key facts

NPI
1770955460
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW018090 (PA)
Practice address
219 Spring Valley Way
Aston, PA 19014-1454
Phone
(610) 613-5829
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
Yes

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
CW018090PAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018090 PA Yes

Addresses

Primary practice location

219 Spring Valley Way
Aston, PA 19014-1454

Mailing address

219 Spring Valley Way
Aston, PA 19014-1454
Phone (610) 613-5829

Other providers in Aston, PA

All providers in Aston, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.