Provider Demographics
NPI:1003365628
Name:SOCIAL WORK CONSULTING AND COUNSELING LLC
Entity Type:Organization
Organization Name:SOCIAL WORK CONSULTING AND COUNSELING LLC
Other - Org Name:SWCC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-204-6934
Mailing Address - Street 1:1007 PREMIER ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2154
Mailing Address - Country:US
Mailing Address - Phone:412-204-6934
Mailing Address - Fax:
Practice Address - Street 1:910 BRADDOCK AVE
Practice Address - Street 2:
Practice Address - City:BRADDOCK
Practice Address - State:PA
Practice Address - Zip Code:15104-1717
Practice Address - Country:US
Practice Address - Phone:412-204-6934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW018857251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW018857OtherSOCIAL WORK STATE BOARDS