Healthcare Provider Details

I. General information

NPI: 1487561833
Provider Name (Legal Business Name): LUTHERAN SERVICE SOCIETY OF WESTERN PENNSYLVANIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 LINCOLN AVE
PITTSBURGH PA
15202
US

IV. Provider business mailing address

440 LINCOLN AVE
PITTSBURGH PA
15202
US

V. Phone/Fax

Practice location:
  • Phone: 412-734-9330
  • Fax:
Mailing address:
  • Phone: 412-734-9330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARAH ISRAEL
Title or Position: ADMINISTRATOR
Credential: LCSW
Phone: 412-307-1775