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General NPI Number Information
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NPI Number | 1669430757
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY & CHILDRENS SERVICE
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 5743 BARTLETT ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-1515
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Country | US
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Telephone | 412-422-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 5743 BARTLETT ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-1515
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Country | US
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Telephone | 412-422-7200
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JORDAN GOLIN
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Credential |
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Telephone | 412-422-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 475770
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License Number State | PA
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