Basic Information
| Provider Information | |||||||||
| NPI: | 1578884615 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CRAFT | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 SHENANGO AVE | ||||||||
| Address2: | |||||||||
| City: | SHARON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161461503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247048886 | ||||||||
| FaxNumber: | 7243421942 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 PRUSHNOK DR | ||||||||
| Address2: | |||||||||
| City: | PUNXSUTAWNEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 157672343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8149383310 | ||||||||
| FaxNumber: | 8149386804 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2010 | ||||||||
| LastUpdateDate: | 02/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | SW9913 | FL | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | CW018822 | PA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.