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NPI Code Detail

MEDICARE: STEPHANIE NICOLE VARGAS BAVERSO LCSW

MEDICARE: STEPHANIE NICOLE VARGAS BAVERSO 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 WorkerCW018933PA

General Provider Information

NPI Number : 1720594633
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE NICOLE VARGAS BAVERSO LCSW
Provider Business Mailing Address
First Line : 1789 S BRADDOCK AVE STE 410
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1881
Country : US
Telephone Number : 412-342-4058
Fax Number :
Provider Business Practice Location Address
First Line : 1789 S BRADDOCK AVE STE 410
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1881
Country : US
Telephone Number : 412-342-4058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2017
Last Update Date : 12/15/2017

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Directions to “ STEPHANIE NICOLE VARGAS BAVERSO LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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