Healthcare Provider Details

I. General information

NPI: 1013505551
Provider Name (Legal Business Name): ELICIA WOEHRMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2021
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 HARTMAN ST
MCKEESPORT PA
15132-1500
US

IV. Provider business mailing address

221 S MILLVALE AVE APT 3A
PITTSBURGH PA
15224-1676
US

V. Phone/Fax

Practice location:
  • Phone: 412-616-7486
  • Fax:
Mailing address:
  • Phone: 240-205-0335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW024860
License Number StatePA

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: