Provider Demographics
NPI:1366642654
Name:MOMIROSKA, KATERINA (MSW)
Entity Type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:MOMIROSKA
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 1:4000 CONIFER CT APT 412
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7357
Mailing Address - Country:US
Mailing Address - Phone:803-466-6068
Mailing Address - Fax:
Practice Address - Street 1:1350 BROADVIEW BLVD
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1143
Practice Address - Country:US
Practice Address - Phone:724-226-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical