Healthcare Provider Details

I. General information

NPI: 1437407624
Provider Name (Legal Business Name): CHRISTOPHER KOREY MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 FIFTH AVE
MCKEESPORT PA
15132-2424
US

IV. Provider business mailing address

1305 FIFTH AVE
MCKEESPORT PA
15132-2424
US

V. Phone/Fax

Practice location:
  • Phone: 412-675-3133
  • Fax:
Mailing address:
  • Phone: 412-675-3133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: