MEDICARE: MICHELE R WARNOCK 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	SW133966	PA

General Provider Information

NPI Number	:	1215523543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE R WARNOCK LSW

Provider Business Mailing Address
First Line	:	1274 CARDINAL DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1208
Country	:	US
Telephone Number	:	412-427-6762
Fax Number	:

Provider Business Practice Location Address
First Line	:	1274 CARDINAL DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1208
Country	:	US
Telephone Number	:	412-427-6762
Fax Number	:

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

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	12/21/2020

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Directions to “ MICHELE R WARNOCK LSW” Practice Location

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