Healthcare Provider Details

I. General information

NPI: 1184613549
Provider Name (Legal Business Name): SHARON E OPITZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 SOUTH 9TH STREET
PITTSBURGH PA
15203
US

IV. Provider business mailing address

1200 REEDSDALE ST
PITTSBURGH PA
15233-2109
US

V. Phone/Fax

Practice location:
  • Phone: 412-488-4040
  • Fax: 412-488-4932
Mailing address:
  • Phone: 412-323-8026
  • Fax: 412-323-4507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013707
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: