MEDICARE: MRS. LEE ANNE LANGHURST 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	CW013168	PA

General Provider Information

NPI Number	:	1699505586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEE ANNE LANGHURST LCSW

Provider Business Mailing Address
First Line	:	8101 PERRY HWY STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-5215
Country	:	US
Telephone Number	:	412-401-7484
Fax Number	:

Provider Business Practice Location Address
First Line	:	8101 PERRY HWY STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-5215
Country	:	US
Telephone Number	:	412-401-7484
Fax Number	:

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

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/05/2024

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