Provider Demographics
NPI:1043310576
Name:MILLER-WEINER, CAROL A (MSW, LSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:MILLER-WEINER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E PIKE ST
Mailing Address - Street 2:SUITE LLA
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-1366
Mailing Address - Country:US
Mailing Address - Phone:724-873-1220
Mailing Address - Fax:
Practice Address - Street 1:20 E PIKE ST
Practice Address - Street 2:SUITE LLA
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-1366
Practice Address - Country:US
Practice Address - Phone:724-873-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW009543L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2090272OtherCIGNA HEALTHCARE/CIGNA BE
TX7800193OtherAETNA
PA893536OtherHIGHMARK
KY224607OtherMANAGED HEALTH NETWORK
PA457864OtherVBH-PA/VALUE OPTIONS