Provider Demographics
NPI:1003141375
Name:MAIOLA, JAMIE LEE (LSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:MAIOLA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:MAIOLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1011 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1101
Mailing Address - Country:US
Mailing Address - Phone:412-298-0987
Mailing Address - Fax:412-235-5387
Practice Address - Street 1:1011 BINGHAM ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1101
Practice Address - Country:US
Practice Address - Phone:412-298-0987
Practice Address - Fax:412-235-5387
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW123538104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker