Healthcare Provider Details

I. General information

NPI: 1982900254
Provider Name (Legal Business Name): PAMELA LEE NOBLIT L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 02/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3937 BUTLER STREET UPMC ST. MARGARET LAWRENCEVILLE FAMILY HEALTH CENTER
PITTSBURGH PA
15201
US

IV. Provider business mailing address

3937 BUTLER STREET UPMC ST. MARGARET LAWRENCEVILLE FAMILY HEALTH CENTER
PITTSBURGH PA
15201
US

V. Phone/Fax

Practice location:
  • Phone: 412-622-7343
  • Fax: 412-621-8235
Mailing address:
  • Phone: 412-622-7343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW012748
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: