Healthcare Provider Details
I. General information
NPI: 1700992369
Provider Name (Legal Business Name): NARDA B. RATHBUN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
519 PENN AVE SUITE 202
TURTLE CREEK PA
15145-2082
US
IV. Provider business mailing address
354 COLEMAN DR
MONROEVILLE PA
15146-4828
US
V. Phone/Fax
- Phone: 412-824-8510
- Fax: 412-824-0948
- Phone: 412-372-1473
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | CW013484 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | CW013484 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 676717 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | HIGHMARK |
| # 2 | |
| Identifier | 124736 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | VALUE OPTIONS |
| # 3 | |
| Identifier | 146771 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MAGELLAN |
| # 4 | |
| Identifier | 322742 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | TRI-CARE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: