Healthcare Provider Details

I. General information

NPI: 1780784553
Provider Name (Legal Business Name): JEFFREY ZIRWAS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HAZEL LANE SUITE 300
SEWICKLEY PA
15143
US

IV. Provider business mailing address

818 PONDEROSA DR
IMPERIAL PA
15126-1169
US

V. Phone/Fax

Practice location:
  • Phone: 412-749-7330
  • Fax: 412-749-7339
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW015227
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: