Laura Kinney

Individual provider Active NPI Clinical Social Worker · Dravosburg, PA

NPI 1760017149 · NPPES record last updated Mar 6, 2020

Key facts

NPI
1760017149
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW021090 (PA)
Practice address
523 Ravine St
Dravosburg, PA 15034-1012
Phone
(412) 896-5140
NPI assigned
Mar 6, 2020
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
CW021090PAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW021090 PA Yes

Addresses

Primary practice location

523 Ravine St
Dravosburg, PA 15034-1012

Mailing address

523 Ravine St
Dravosburg, PA 15034-1012
Phone (412) 896-5140

Other providers in Dravosburg, PA

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

Sources for this page

Verify at the official NPI Registry.