Basic Information
Provider Information
NPI: 1922465186
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEJGROWICZ
FirstName: ELIZABETH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 409 GLENBROOK CT
Address2:  
City: LANCASTER
State: PA
PostalCode: 176032359
CountryCode: US
TelephoneNumber: 7173807042
FaxNumber:  
Practice Location
Address1: 2102 HARRISBURG PIKE
Address2:  
City: LANCASTER
State: PA
PostalCode: 176012644
CountryCode: US
TelephoneNumber: 7175449400
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/19/2016
LastUpdateDate: 01/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XCW015207PAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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