Healthcare Provider Details

I. General information

NPI: 1912104662
Provider Name (Legal Business Name): PAULA RENEE CENKNER MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 E PITTSBURGH ST
GREENSBURG PA
15601-3502
US

IV. Provider business mailing address

916 CLAY PIKE ROAD
ACME PA
15610
US

V. Phone/Fax

Practice location:
  • Phone: 724-850-7200
  • Fax:
Mailing address:
  • Phone: 724-787-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW126110
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: