=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447604681
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOUCHSTONE CLINICAL ASSOCIATES P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2016
-----------------------------------------------------
Last Update Date | 06/17/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 MCKNIGHT PARK DR SUITE 502A
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15237-6517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-448-9341
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1421 MACON AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15218-1220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-448-9341
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ERIN L SWAB
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 724-448-9341
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | CW017233
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------