MEDICARE: MRS. HEATHER B NEWMAN-TRIVUS MSW,LCSW,ACSW,BCD

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	CWO13254	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	1553385	OTHER	PA	CBHNP GATEWAY MEDICARE AS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000634534	OTHER		UBH
2	887679	OTHER	PA	BLUE CROSS BLUE SHIELD
3	857676	OTHER	PA	MAGELLAN
4	10088	OTHER	PA	GREENSPRINGS OF W. PA
5	109420	OTHER		TRICARE HEALTH NET SERVIC
6	208675	OTHER		MENTAL HEALTH NETWORK
7	110212	OTHER	PA	UPMC
8	712086	OTHER		AETNA U. S. HEALTHCARE
9	109420	OTHER		VALUE OPTIONS

General Provider Information

NPI Number	:	1922171354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER B NEWMAN-TRIVUS MSW,LCSW,ACSW,BCD

Provider Business Mailing Address
First Line	:	2233 NEW BEDFORD DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6472
Country	:	US
Telephone Number	:	813-951-8328
Fax Number	:	813-684-8708

Provider Business Practice Location Address
First Line	:	615 WASHINGTON RD STE 504
Second Line	:	EXECUTIVE BUILDING
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1926
Country	:	US
Telephone Number	:	412-343-1009
Fax Number	:	412-343-1009

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	10/15/2015

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