Provider Demographics
NPI:1073690368
Name:MARIAN, SHARON A (LCSW, CAC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:MARIAN
Suffix:
Gender:F
Credentials:LCSW, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 WASHINGTON RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1208
Mailing Address - Country:US
Mailing Address - Phone:412-854-4887
Mailing Address - Fax:412-386-3733
Practice Address - Street 1:1720 WASHINGTON RD
Practice Address - Street 2:SUITE 208
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1208
Practice Address - Country:US
Practice Address - Phone:412-854-4887
Practice Address - Fax:412-386-3733
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3863101YA0400X
PACW0141491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001333969OtherHIGHMARK
PA1022229500002Medicaid
PA313967OtherUPMC
PA1485089OtherBLUE CROSS
PA081894Medicare PIN