Individual provider · Type 1 NPI
Elisabeth C. Mamourian Corona, LCSW
Clinical Social Worker · Mount Gretna, PA
Practice location
283 Butler Rd # 550
Mount Gretna, PA 17064-6085
Fax (717) 273-8871
Mailing address
2058 Broad St
East Petersburg, PA 17520-1202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CW017740 (PA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1669789913
Elisabeth C. Mamourian Corona, LCSW's National Provider Identifier is 1669789913, issued on Sep 8, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Gretna, PA. The record was last updated on Jun 24, 2013.