MEDICARE: MR. DAVID CARL VOJNA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW012902	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	266828	OTHER	PA	HIGHMARK KHPW
2	252690	OTHER	PA	VALUE OPTIONS
3	7954056	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1033259833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID CARL VOJNA LCSW

Provider Business Mailing Address
First Line	:	459 GREEN TREE RD
Second Line	:
City	:	KITTANNING
State	:	PA
Zip	:	16201-4933
Country	:	US
Telephone Number	:	724-284-9440
Fax Number	:	724-284-9441

Provider Business Practice Location Address
First Line	:	100 BRUGH AVE
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-6410
Country	:	US
Telephone Number	:	724-284-9440
Fax Number	:	724-284-9441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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