Provider Demographics
NPI:1043081409
Name:KANOZA, AMBER (LSW)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:KANOZA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 CHATHAM PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2204
Mailing Address - Country:US
Mailing Address - Phone:814-636-2899
Mailing Address - Fax:
Practice Address - Street 1:378 CHATHAM PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2204
Practice Address - Country:US
Practice Address - Phone:814-636-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW139997104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker