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NPI Code Detail

MEDICARE: DOMINIC A. PASQUALINO LCSW

MEDICARE:   DOMINIC A. PASQUALINO  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 WorkerCW014067PA

General Provider Information

NPI Number : 1679513139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIC A. PASQUALINO LCSW
Provider Business Mailing Address
First Line : 1424 JEFFERSON HEIGHTS RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-5220
Country : US
Telephone Number : 412-829-6508
Fax Number :
Provider Business Practice Location Address
First Line : 712 SOUTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-2940
Country : US
Telephone Number : 412-731-9707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 07/08/2007

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Directions to “ DOMINIC A. PASQUALINO LCSW” Practice Location

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