Healthcare Provider Details

I. General information

NPI: 1588548804
Provider Name (Legal Business Name): CARRIE JOU OPASKA LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2644 LEECHBURG RD FL 2
NEW KENSINGTON PA
15068-3087
US

IV. Provider business mailing address

333 GLENCOVE DR
NEW KENSINGTON PA
15068-6872
US

V. Phone/Fax

Practice location:
  • Phone: 412-417-8160
  • Fax:
Mailing address:
  • Phone: 412-721-0294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW138987
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: