1437267960 NPI number — MRS. JOLEEN PATRICIA CHIAVERINI MSW

Table of content: MRS. JOLEEN PATRICIA CHIAVERINI MSW (NPI 1437267960)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437267960 NPI number — MRS. JOLEEN PATRICIA CHIAVERINI MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHIAVERINI
Provider First Name:
JOLEEN
Provider Middle Name:
PATRICIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ANDELMO
Provider Other First Name:
JOLEEN
Provider Other Middle Name:
PATRICIA
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437267960
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
364 CLINE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
E PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15112-1605
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-824-6370
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
519 PENN AVE
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
TURTLE CREEK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15145-2082
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-824-8510
Provider Business Practice Location Address Fax Number:
412-824-0948
Provider Enumeration Date:
08/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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