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NPI Code Detail

MEDICARE: MRS. MAURI M TATE LCSW

MEDICARE: MRS. MAURI M TATE 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
11041C0700XClinical Social WorkerCW023958PA

General Provider Information

NPI Number : 1295369114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAURI M TATE LCSW
Provider Business Mailing Address
First Line : 1047 NEW HOPE DR
Second Line :
City : IRWIN
State : PA
Zip : 15642-3013
Country : US
Telephone Number : 814-790-8327
Fax Number :
Provider Business Practice Location Address
First Line : 6425 LIVING PL STE 200
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-5122
Country : US
Telephone Number : 814-790-8327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2020
Last Update Date : 07/09/2024

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Directions to “ MRS. MAURI M TATE LCSW” Practice Location

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