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NPI Code Detail

MEDICARE: LISA S. ELLIOTT LCSW

MEDICARE:   LISA S. ELLIOTT  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 WorkerCW01497PA

General Provider Information

NPI Number : 1619919354
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA S. ELLIOTT LCSW
Provider Business Mailing Address
First Line : 254 38TH ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15201-1808
Country : US
Telephone Number : 412-606-9231
Fax Number :
Provider Business Practice Location Address
First Line : 500 WALNUT ST
Second Line :
City : MCKEESPORT
State : PA
Zip : 15132-2801
Country : US
Telephone Number : 412-664-1289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 07/08/2007

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Directions to “ LISA S. ELLIOTT LCSW” Practice Location

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