Provider Demographics
NPI:1306648027
Name:REDCAY, ROBERT L (LSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:REDCAY
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 DONEGAL SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-9034
Mailing Address - Country:US
Mailing Address - Phone:717-333-4678
Mailing Address - Fax:
Practice Address - Street 1:347 S MARKET ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2423
Practice Address - Country:US
Practice Address - Phone:717-964-0091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW-000504-E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker