Healthcare Provider Details

I. General information

NPI: 1306370200
Provider Name (Legal Business Name): FTAZIA MONAY LITTLE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 LAFAYETTE ST
MCKEESPORT PA
15132-5903
US

IV. Provider business mailing address

2800 LAFAYETTE ST
MCKEESPORT PA
15132-5903
US

V. Phone/Fax

Practice location:
  • Phone: 937-830-3086
  • Fax:
Mailing address:
  • Phone: 937-830-3086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW021586
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1901609
License Number StateOH

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: