Healthcare Provider Details

I. General information

NPI: 1699829812
Provider Name (Legal Business Name): SHARON L CIOCCA LCSW BCD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 WASHINGTON RD SUITE 404C
PITTSBURGH PA
15241-1207
US

IV. Provider business mailing address

1725 WASHINGTON RD SUITE 404C
PITTSBURGH PA
15241-1207
US

V. Phone/Fax

Practice location:
  • Phone: 412-833-7444
  • Fax: 412-833-7444
Mailing address:
  • Phone: 412-833-7444
  • Fax: 412-833-7444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW007150L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: