Elliott Aaron Branch Jr., LSW

Individual provider Active NPI Social Worker · Monessen, PA

NPI 1598041873 · NPPES record last updated Oct 31, 2011

Key facts

NPI
1598041873
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SW129047 (PA)
Practice address
701 Schoonmaker Ave
Suite 100
Monessen, PA 15062-1007
Phone
(724) 454-7136
NPI assigned
Oct 31, 2011
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)
No

State licenses

LicenseStateTypeSpecialty
SW129047PAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129047 PA Yes

Addresses

Primary practice location

701 Schoonmaker Ave
Suite 100
Monessen, PA 15062-1007

Mailing address

701 Schoonmaker Ave
Suite 100
Monessen, PA 15062-1007
Phone (724) 454-7136

Other providers in Monessen, PA

All providers in Monessen, PA · Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.