=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679213805
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAEL JOSEPH CUHRAN LSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/29/2022
-----------------------------------------------------
Last Update Date | 08/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 195 BOUNDRY LN STE 2
-----------------------------------------------------
City | BEAVER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15009-2992
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-658-9398
-----------------------------------------------------
Fax | 724-656-1429
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2722 WILMINGTON RD
-----------------------------------------------------
City | NEW CASTLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16105-1241
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-658-9398
-----------------------------------------------------
Fax | 724-656-1429
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | SW12875
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------