1003929142 NPI number — MS. SANDAL L WRIGHT MSW

Table of content: MS. SANDAL L WRIGHT MSW (NPI 1003929142)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003929142 NPI number — MS. SANDAL L WRIGHT MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
SANDAL
Provider Middle Name:
L
Provider Name Prefix Text:
MS.
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:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003929142
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:
7415 CHURCH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-365-5411
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7180 HIGHLAND DRIVE
Provider Second Line Business Practice Location Address:
122 D-H
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-365-5411
Provider Business Practice Location Address Fax Number:
412-365-5187
Provider Enumeration Date:
08/15/2006

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 , with the licence number:  SW011726L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: SW011726L . This is a "LICENSED SOCIAL WORKER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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