Healthcare Provider Details

I. General information

NPI: 1396709614
Provider Name (Legal Business Name): CHARLES H KUHN LCSW, BCD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1388 FREEPORT RD SUITE 202
PITTSBURGH PA
15238-3114
US

IV. Provider business mailing address

1388 FREEPORT RD SUITE 202
PITTSBURGH PA
15238-3114
US

V. Phone/Fax

Practice location:
  • Phone: 412-963-6540
  • Fax: 412-963-8340
Mailing address:
  • Phone: 412-963-6540
  • Fax: 412-963-8340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW012895
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCW012895
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCW012895
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCW012895
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: