David Issod

Individual provider Active NPI Clinical Social Worker · Millvale, PA

NPI 1588042006 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1588042006
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW018492 (PA)
Practice address
252 Maryland Ave
Millvale, PA 15209-2742
Phone
(412) 345-1388
NPI assigned
May 16, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018492 PA Yes

Addresses

Primary practice location

252 Maryland Ave
Millvale, PA 15209-2742

Mailing address

8660 Remington Dr
Pittsburgh, PA 15237-5780

Other practice location 1

20 Terminal Way
Pittsburgh, PA 15219-1209
Phone (412) 345-1388

Other practice location 2

4249 Upview Ter
Pittsburgh, PA 15201-2247
Phone (413) 231-2999

Other practice location 3

4249 Upview Ter
Pittsburgh, PA 15201-2247
Phone (413) 231-2999

Other providers in Millvale, PA

All providers in Millvale, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.