Healthcare Provider Details

I. General information

NPI: 1053909754
Provider Name (Legal Business Name): EMILY RYAN GASS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY RYAN

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WATERDAM PLAZA DR STE 201
CANONSBURG PA
15317-5416
US

IV. Provider business mailing address

35 HAWTHORNE DR
WASHINGTON PA
15301-6101
US

V. Phone/Fax

Practice location:
  • Phone: 412-318-5752
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW018472
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: