Healthcare Provider Details

I. General information

NPI: 1134745003
Provider Name (Legal Business Name): DANEYA LYNN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CEDAR BLVD STE 200
PITTSBURGH PA
15228-1330
US

IV. Provider business mailing address

PO BOX 8004
PITTSBURGH PA
15216-0804
US

V. Phone/Fax

Practice location:
  • Phone: 412-495-9555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027296
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: