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NPI Code Detail

MEDICARE: MR. SPENCER PAUL KILPATRICK LCSW

MEDICARE: MR. SPENCER PAUL KILPATRICK LCSW
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 WorkerCW021275PA

General Provider Information

NPI Number : 1588175954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SPENCER PAUL KILPATRICK LCSW
Provider Business Mailing Address
First Line : 201 PENN CENTER BLVD STE 400
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-5441
Country : US
Telephone Number : 724-243-2686
Fax Number : 412-415-7151
Provider Business Practice Location Address
First Line : 201 PENN CENTER BLVD STE 400
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-5441
Country : US
Telephone Number : 724-243-2686
Fax Number : 412-415-7151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2017
Last Update Date : 09/18/2023

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Directions to “ MR. SPENCER PAUL KILPATRICK LCSW” Practice Location

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