MEDICARE: MS. NAOMI R GREENBERG

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	SW124397	PA
2	1041C0700X	Clinical Social Worker	CW016042	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2063504	OTHER	PA	HIGHMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912169244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NAOMI R GREENBERG

Provider Business Mailing Address
First Line	:	5506 BRYANT ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1429
Country	:	US
Telephone Number	:	412-400-3151
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N NEGLEY AVE
Second Line	:	SUITE 7
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1560
Country	:	US
Telephone Number	:	412-400-3151
Fax Number	:

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

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	11/25/2009

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