MEDICARE: JANICE ROSE SCIULLI 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	101YM0800X	Mental Health Counselor	CW019644	PA

General Provider Information

NPI Number	:	1902563133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE ROSE SCIULLI LCSW

Provider Business Mailing Address
First Line	:	204 S MATHILDA ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-1605
Country	:	US
Telephone Number	:	412-860-6867
Fax Number	:

Provider Business Practice Location Address
First Line	:	603 WASHINGTON RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1909
Country	:	US
Telephone Number	:	412-860-6867
Fax Number	:

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

Provider Enumeration Date	:	11/22/2021
Last Update Date	:	04/26/2022

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Directions to “ JANICE ROSE SCIULLI LCSW” Practice Location

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