Healthcare Provider Details

I. General information

NPI: 1578551479
Provider Name (Legal Business Name): JULIE ANN MCCUNE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 FREEPORT RD
NATRONA HEIGHTS PA
15065-1544
US

IV. Provider business mailing address

2207 FREEPORT RD
NATRONA HEIGHTS PA
15065-1544
US

V. Phone/Fax

Practice location:
  • Phone: 724-722-4303
  • Fax: 724-224-3383
Mailing address:
  • Phone: 724-722-4303
  • Fax: 724-224-3383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW12508
License Number StatePA

VII. Legacy identifiers

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

# 1
Identifier628103
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK
# 2
IdentifierA838828
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 3
Identifier87158891
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUBH
# 4
Identifier333207
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMHN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: