in Greensburg - Clinical

- NPI 1295885200

is a Clinical in Greensburg, Pennsylvania. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1295885200. The last update date is .

's current location address is 337 Harvey Ave, Greensburg, Pennsylvania. You can contact this provider via phone number 7248321900. The mailing address for is 337 Harvey Ave, Greensburg, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 337 Harvey Ave, Greensburg, Pennsylvania
Phone Number 7248321900
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1295885200
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 337 Harvey Ave
City Greensburg
State Pennsylvania (PA)
Post Code 156011994
Phone Number 7248321900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW012827
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PI 804332 PA BLUE SHIELD PROVIDER #
7332924 PA --
535901 PA VALUEOPTIONS PROVIDER #

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