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General NPI Number Information
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NPI Number | 1083435721
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Entity Type | Individual
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Provider Name | KATHERINE REGIS LSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 4001 STONEWOOD DR STE 110
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City | WEXFORD
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State | PA
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Zip | 15090-8398
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Country | US
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Telephone | 412-923-0677
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Fax |
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Provider Business Mailing Address
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Address Line | 1123 POCONO ST
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City | PITTSBURGH
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State | PA
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Zip | 15218-1131
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Country | US
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Telephone | 479-466-7497
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW140042
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License Number State | PA
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