Healthcare Provider Details
I. General information
NPI: 1346848165
Provider Name (Legal Business Name): LIANNE GLAUS VIGHETTI DHCE, HEC-C, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/14/2020
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
750 WASHINGTON RD STE 19
PITTSBURGH PA
15228-2052
US
IV. Provider business mailing address
750 WASHINGTON RD STE 19
PITTSBURGH PA
15228-2052
US
V. Phone/Fax
- Phone: 412-330-1399
- Fax:
- Phone: 412-330-1399
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CW021425 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: