Michele A Jox

Individual provider Active NPI Social Worker · Tarentum, PA

NPI 1376016121 · NPPES record last updated Jan 4, 2019

Key facts

NPI
1376016121
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SW126566 (PA)
Practice address
702 2ND Ave
Tarentum, PA 15084-2004
Phone
(724) 230-3240
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW126566PAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW126566 PA Yes

Addresses

Primary practice location

702 2ND Ave
Tarentum, PA 15084-2004

Mailing address

702 2ND Ave
Tarentum, PA 15084-2004

Other providers in Tarentum, PA

All providers in Tarentum, PA · Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.