MEDICARE: MRS. ELIZABETH A. RYKACZEWSKI 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	CW015152	PA

General Provider Information

NPI Number	:	1154347805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH A. RYKACZEWSKI LCSW

Provider Business Mailing Address
First Line	:	331 OAK GROVE CT
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9571
Country	:	US
Telephone Number	:	412-780-5256
Fax Number	:	412-366-7048

Provider Business Practice Location Address
First Line	:	6000 BABCOCK BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2564
Country	:	US
Telephone Number	:	412-780-5256
Fax Number	:	412-366-7048

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

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