Provider Demographics
NPI:1124031398
Name:DEAKIN, RICHARD GERARD (MSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:GERARD
Last Name:DEAKIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-1472
Mailing Address - Country:US
Mailing Address - Phone:724-266-3498
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY DR C
Practice Address - Street 2:(131-A)
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-784-3553
Practice Address - Fax:412-784-3704
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW-011021-L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker