Doctor Name: | NANCY JOAN PISTNER |
NPI Number: | 1164433801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW017294 |
Business Practice Address: | 226 Allegheny St Jersey Shore, PA - 177401404 |
Business Phone Number: | 5705059670 |
Business Fax Number: | |
Mailing Address: | Po Box 130, JERSEY SHORE |
State: | PA |
Postal Code: | 177400130 |
Phone Number: | 5705059670 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW017294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |