Healthcare Provider Details

I. General information

NPI: 1770893950
Provider Name (Legal Business Name): ANEESA HARASH HOLT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 04/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 HARTMAN ST
MCKEESPORT PA
15132-1500
US

IV. Provider business mailing address

1101 HARTMAN ST
MCKEESPORT PA
15132-1500
US

V. Phone/Fax

Practice location:
  • Phone: 412-672-5856
  • Fax:
Mailing address:
  • Phone: 412-672-5856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW018067
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: