MEDICARE: ADAIRE LAURA HOYT 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	SW009279L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110415	OTHER	PA	UPMC HEALTH PLAN
2	646180	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1235189564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAIRE LAURA HOYT LSW

Provider Business Mailing Address
First Line	:	1789 S BRADDOCK AVE
Second Line	:	STE 375
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1842
Country	:	US
Telephone Number	:	412-371-2210
Fax Number	:	412-371-1115

Provider Business Practice Location Address
First Line	:	1789 S BRADDOCK AVE
Second Line	:	STE 375
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1842
Country	:	US
Telephone Number	:	412-371-2210
Fax Number	:	412-371-1115

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	07/08/2007

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Directions to “ ADAIRE LAURA HOYT LSW” Practice Location

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