Healthcare Provider Details
I. General information
NPI: 1265621007
Provider Name (Legal Business Name): LINDA RUTH RIETHMILLER MSW,LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/17/2007
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2119 W WASHINGTON ST
NEW CASTLE PA
16101-1146
US
IV. Provider business mailing address
101 PEMBROKE CT
GREENSBURG PA
15601-6404
US
V. Phone/Fax
- Phone: 724-396-1510
- Fax: 724-972-4627
- Phone: 724-396-1510
- Fax: 724-972-4627
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CW020159 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | S.0012132 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: