Provider Demographics
NPI:1053996280
Name:BOSSERT-DAVIS, HILLARY SHEARER (LCSW)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:SHEARER
Last Name:BOSSERT-DAVIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:SHEARER
Other - Last Name:BOSSERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:135 CONWAY DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-2915
Mailing Address - Country:US
Mailing Address - Phone:717-413-3124
Mailing Address - Fax:
Practice Address - Street 1:1987 STATE ST
Practice Address - Street 2:
Practice Address - City:EAST PETERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17520-1324
Practice Address - Country:US
Practice Address - Phone:717-282-2908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW022617104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker