Provider Demographics
NPI:1366608374
Name:AVERS, HANNAH LYNNE (LCSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LYNNE
Last Name:AVERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 CROWN AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6303
Mailing Address - Country:US
Mailing Address - Phone:717-207-9857
Mailing Address - Fax:717-208-6686
Practice Address - Street 1:1681 CROWN AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6303
Practice Address - Country:US
Practice Address - Phone:717-207-9857
Practice Address - Fax:717-208-6686
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125591101YM0800X
PACW0173021041C0700X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100775933Medicaid