Provider Demographics
NPI:1134510902
Name:WALNOHA, ADRIENNE (MSW LSW)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:WALNOHA
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 1:312 RICHEY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214-2039
Mailing Address - Country:US
Mailing Address - Phone:412-246-1603
Mailing Address - Fax:412-246-1665
Practice Address - Street 1:5001 CENTRE AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1807
Practice Address - Country:US
Practice Address - Phone:412-246-1603
Practice Address - Fax:412-246-1665
Is Sole Proprietor?:No
Enumeration Date:2015-02-14
Last Update Date:2015-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW012738L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker