National Provider Identifier

Mary-Lou Jean Hartman, LCSW

Mary-Lou Jean Hartman, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 739-3581.

NPI 1083486674Elmira, NYClinical Social Worker

Profile Overview

NPI
1083486674
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 26, 2023
Last Updated
May 07, 2024

Practice Location

  • 459 Philo RD
  • Elmira, NY 14903-1051

Phone: (607) 739-3581

Mailing Address

  • 142 Jackson Creek RD
  • Erin, NY 14838-9722

Specialties

  • Clinical Social Worker (1041C0700X)
  • School Social Worker (1041S0200X)
Full Record
NPI
1083486674
Entity Type
Individual
Last Name
Hartman
First Name
Mary-Lou
Middle Name
Jean
Credential
LCSW
Mailing Street Address
142 Jackson Creek RD
Mailing City
Erin
Mailing State
NY
Mailing ZIP Code
14838-9722
Mailing Country
US
Mailing Phone
(607) 725-2667
Practice Street Address
459 Philo RD
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14903-1051
Practice Country
US
Practice Phone
(607) 739-3581
Enumeration Date
October 26, 2023
Last Updated
May 07, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 07, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), School Social Worker (1041S0200X)