Healthcare Provider Details

I. General information

NPI: 1639137433
Provider Name (Legal Business Name): SHANNON L. RITZERT LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 MAIN ST
GREENVILLE PA
16125-2608
US

IV. Provider business mailing address

699 E STATE ST
SHARON PA
16146-2057
US

V. Phone/Fax

Practice location:
  • Phone: 724-588-7814
  • Fax: 724-588-7986
Mailing address:
  • Phone: 724-983-3820
  • Fax: 724-983-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW016036
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: