Provider Demographics
NPI:1114107695
Name:KAZOS, JAMIE (MSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:KAZOS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SAINT CHARLES CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2718
Mailing Address - Country:US
Mailing Address - Phone:412-736-6725
Mailing Address - Fax:412-828-2772
Practice Address - Street 1:111 SAINT CHARLES CT
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2718
Practice Address - Country:US
Practice Address - Phone:412-736-6725
Practice Address - Fax:412-828-2772
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW013540104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker