Healthcare Provider Details

I. General information

NPI: 1366799470
Provider Name (Legal Business Name): KARA JANE DICARLO LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 E 8TH AVE
HOMESTEAD PA
15120-1901
US

IV. Provider business mailing address

1801 DUFFIELD ST
PITTSBURGH PA
15206-1055
US

V. Phone/Fax

Practice location:
  • Phone: 412-464-2101
  • Fax:
Mailing address:
  • Phone: 724-822-1538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW128790
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: