Provider Demographics
NPI:1275644387
Name:BOLGERT, ROBERT G (MSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:G
Last Name:BOLGERT
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 1:7180 HIGHLAND DR
Mailing Address - Street 2:116A8-H
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1206
Mailing Address - Country:US
Mailing Address - Phone:412-365-5020
Mailing Address - Fax:412-365-5009
Practice Address - Street 1:7180 HIGHLAND DR
Practice Address - Street 2:116A8-H
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1206
Practice Address - Country:US
Practice Address - Phone:412-365-5020
Practice Address - Fax:412-365-5009
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker