Provider Demographics
NPI:1326525676
Name:MCCARDELL, ELLEN (LPC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:MCCARDELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CAMBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-9317
Mailing Address - Country:US
Mailing Address - Phone:717-348-6071
Mailing Address - Fax:
Practice Address - Street 1:50 CAMBRIDGE LN
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-9317
Practice Address - Country:US
Practice Address - Phone:717-348-6071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012839101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor