MEDICARE: MARTA B VANCE BSW

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	SW129008	PA

General Provider Information

NPI Number	:	1639483621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTA B VANCE BSW

Provider Business Mailing Address
First Line	:	101 PEMBROKE CT
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-6404
Country	:	US
Telephone Number	:	724-396-1510
Fax Number	:	724-972-4627

Provider Business Practice Location Address
First Line	:	7605 SALTSBURG RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15239-1723
Country	:	US
Telephone Number	:	724-396-1510
Fax Number	:	724-972-4627

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

Provider Enumeration Date	:	08/02/2010
Last Update Date	:	03/17/2025

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Directions to “ MARTA B VANCE BSW” Practice Location

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