Doctor Name: | LYDIA DEBIASE |
NPI Number: | 1245621879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW018242 |
Business Practice Address: | 300 S Chester Rd Suite 105 Swarthmore, PA - 190811800 |
Business Phone Number: | 6106624389 |
Business Fax Number: | |
Mailing Address: | 37 Yale Sq, MORTON |
State: | PA |
Postal Code: | 190701923 |
Phone Number: | 6106624389 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2015 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW018242 |
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 |