Provider Demographics
NPI:1104891613
Name:STERNER, DORIS M (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:DORIS
Middle Name:M
Last Name:STERNER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 N BELLEVUE AVE
Mailing Address - Street 2:301
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-2129
Mailing Address - Country:US
Mailing Address - Phone:215-741-6169
Mailing Address - Fax:215-757-7556
Practice Address - Street 1:116 N BELLEVUE AVE
Practice Address - Street 2:301
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-2129
Practice Address - Country:US
Practice Address - Phone:215-741-6169
Practice Address - Fax:215-757-7556
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-18
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0138641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAST634703Medicare ID - Type UnspecifiedMEDICARE
PA0718305000Medicare UPIN
PA4608368Medicare UPIN