Healthcare Provider Details

I. General information

NPI: 1962901124
Provider Name (Legal Business Name): KIMBERLY MCCASKEY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 02/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SNYDER RD STE 3
HERMITAGE PA
16148-3432
US

IV. Provider business mailing address

1954 PIERCE BLUFFS DR
HERMITAGE PA
16148-7346
US

V. Phone/Fax

Practice location:
  • Phone: 412-818-3864
  • Fax: 724-342-2303
Mailing address:
  • Phone: 412-818-3864
  • Fax: 724-342-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIMBERLY LEE
Title or Position: OWNER
Credential: LCSW
Phone: 412-818-3864