MEDICARE: RITA LAMPE 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	CW013664	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	162264	OTHER	PA	BC/BS

General Provider Information

NPI Number	:	1841204781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA LAMPE LCSW

Provider Business Mailing Address
First Line	:	1407 MOUNT ROYAL BLVD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-2205
Country	:	US
Telephone Number	:	412-455-6890
Fax Number	:	412-455-6891

Provider Business Practice Location Address
First Line	:	1407 MOUNT ROYAL BLVD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-2205
Country	:	US
Telephone Number	:	412-455-6890
Fax Number	:	412-455-6891

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	04/14/2017

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Directions to “ RITA LAMPE LCSW” Practice Location

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