MEDICARE: SUSAN E KALDON 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	CW012684	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	550827	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1457340812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN E KALDON LCSW

Provider Business Mailing Address
First Line	:	615 WASHINGTON RD
Second Line	:	STE 302
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1901
Country	:	US
Telephone Number	:	412-352-5012
Fax Number	:	412-257-0982

Provider Business Practice Location Address
First Line	:	615 WASHINGTON RD
Second Line	:	STE 302
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1901
Country	:	US
Telephone Number	:	412-352-5012
Fax Number	:	412-257-0982

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/08/2007

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Directions to “ SUSAN E KALDON LCSW” Practice Location

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