Healthcare Provider Details

I. General information

NPI: 1972910040
Provider Name (Legal Business Name): TRAVEA GHEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N BELLEFIELD AVE
PITTSBURGH PA
15213-2600
US

IV. Provider business mailing address

816 MIDDLE ST
PITTSBURGH PA
15212-4915
US

V. Phone/Fax

Practice location:
  • Phone: 412-864-3415
  • Fax: 412-246-5450
Mailing address:
  • Phone: 412-321-4001
  • Fax: 412-321-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW020659
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: