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NPI Code Detail

MEDICARE: AUTUMN L WALSH MSW, LCSW, CCTS

MEDICARE: AUTUMN L WALSH MSW, LCSW, CCTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW026969PA

General Provider Information

NPI Number : 1578246567
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN L WALSH MSW, LCSW, CCTS
Provider Business Mailing Address
First Line : 916 WESTERN AVE
Second Line :
City : JEANNETTE
State : PA
Zip : 15644-2944
Country : US
Telephone Number : 724-396-8340
Fax Number :
Provider Business Practice Location Address
First Line : 2910 MCKELVEY RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-4542
Country : US
Telephone Number : 412-587-6020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 01/23/2026

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