MEDICARE: CATHARINE ELISABETH HEBDON LSW

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	104100000X	Social Worker	SW127539	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	12765447	OTHER	PHCS SAVILITY
2	12765447	OTHER	MULTIPLAN NETWORK
3	12765447	OTHER	PHCS NETWORK

General Provider Information

NPI Number	:	1124353974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHARINE ELISABETH HEBDON LSW

Provider Business Mailing Address
First Line	:	2540 NEW BUTLER RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3225
Country	:	US
Telephone Number	:	724-657-3303
Fax Number	:	724-657-3326

Provider Business Practice Location Address
First Line	:	2540 NEW BUTLER RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3225
Country	:	US
Telephone Number	:	724-657-3303
Fax Number	:	724-657-3326

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

Provider Enumeration Date	:	10/13/2009
Last Update Date	:	04/08/2010

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