Erin Jenine Pistner, LSW

Individual provider Active NPI Social Worker · MC Connellsburg, PA

NPI 1952869976 · NPPES record last updated Mar 8, 2019

Key facts

NPI
1952869976
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SW135738 (PA)
Practice address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone
(717) 485-6120
Fax
(717) 485-2894
NPI assigned
Mar 8, 2019
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
SW135738PAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135738 PA Yes

Addresses

Primary practice location

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Mailing address

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (717) 485-6120

Other providers in MC Connellsburg, PA

All providers in MC Connellsburg, PA · Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.