MEDICARE: MS. SUSAN FRANCES YOCKEY LSW

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	SW004444E	PA

General Provider Information

NPI Number	:	1689646762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN FRANCES YOCKEY LSW

Provider Business Mailing Address
First Line	:	58 S FREMONT AVE
Second Line	:	#12
City	:	PITTSBURGH
State	:	PA
Zip	:	15202-3746
Country	:	US
Telephone Number	:	412-855-3924
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 OHIO RIVER BLVD
Second Line	:
City	:	BADEN
State	:	PA
Zip	:	15005-1914
Country	:	US
Telephone Number	:	724-869-2222
Fax Number	:	724-869-3155

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	07/08/2007

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