Healthcare Provider Details

I. General information

NPI: 1144317959
Provider Name (Legal Business Name): DAVID GRABOWSKI LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 GALLERY DR
MCMURRAY PA
15317-6600
US

IV. Provider business mailing address

344 HAYS AVENUE
PITTSBURGH PA
15241
US

V. Phone/Fax

Practice location:
  • Phone: 412-720-4967
  • Fax:
Mailing address:
  • Phone: 412-720-4967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW008770-L
License Number StatePA

VII. Legacy identifiers

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

# 1
Identifier627795
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK
# 2
Identifier79488691
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUNITED BEHAVIORAL HEALTH
# 3
Identifier224167
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerVALUE OPTIONS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: