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NPI Code Detail

MEDICARE: JANICE A. COLOSIMO LCSW

MEDICARE:   JANICE A. COLOSIMO  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 WorkerCW008700LPA

General Provider Information

NPI Number : 1942254594
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE A. COLOSIMO LCSW
Provider Business Mailing Address
First Line : 1746 SILLVIEW DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1558
Country : US
Telephone Number : 412-276-8952
Fax Number :
Provider Business Practice Location Address
First Line : 1370 WASHINGTON PIKE
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2862
Country : US
Telephone Number : 412-206-0123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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Directions to “ JANICE A. COLOSIMO LCSW” Practice Location

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