MEDICARE: AMANDA E ZEIDERS 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	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	CW021128	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	YYU102574206001	OTHER	PA	HIGHMARK BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1285178566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA E ZEIDERS LCSW

Provider Business Mailing Address
First Line	:	401 SHADY AVE STE D106
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-4460
Country	:	US
Telephone Number	:	412-440-8312
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 SHADY AVE STE D106
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-4460
Country	:	US
Telephone Number	:	412-440-8312
Fax Number	:

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

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	09/15/2025

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Directions to “ AMANDA E ZEIDERS LCSW” Practice Location

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