MEDICARE: CAROLINE LEGO LSW

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
1	104100000X	Social Worker	SW143703	PA

General Provider Information

NPI Number	:	1841087335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE LEGO LSW

Provider Business Mailing Address
First Line	:	648 COVERED BRIDGE RD
Second Line	:
City	:	ROCKWOOD
State	:	PA
Zip	:	15557-8116
Country	:	US
Telephone Number	:	412-860-7165
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 VANADIUM RD STE 105
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1477
Country	:	US
Telephone Number	:	412-368-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	02/21/2026

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Directions to “ CAROLINE LEGO LSW” Practice Location

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