Provider Demographics
NPI:1164523858
Name:WEIN, JAN ALAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAN
Middle Name:ALAN
Last Name:WEIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 SOUTH CRAIG STREET
Mailing Address - Street 2:STE 2D THE GROUP FOR PSYCOTHERAPY
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3731
Mailing Address - Country:US
Mailing Address - Phone:412-681-7494
Mailing Address - Fax:412-681-2280
Practice Address - Street 1:311 SOUTH CRAIG STREET
Practice Address - Street 2:STE 2D THE GROUP FOR PSYCOTHERAPY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3731
Practice Address - Country:US
Practice Address - Phone:412-681-7494
Practice Address - Fax:412-681-2280
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW006677L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAWE001505Medicare ID - Type Unspecified
R05287Medicare UPIN