Provider Demographics
NPI:1376566943
Name:WELSH, JAMIE MADEJA (LCSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:MADEJA
Last Name:WELSH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3138 WILLETT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3042
Mailing Address - Country:US
Mailing Address - Phone:412-819-0122
Mailing Address - Fax:
Practice Address - Street 1:200 CEDAR RIDGE DR
Practice Address - Street 2:SUITE 208
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9691
Practice Address - Country:US
Practice Address - Phone:412-921-7000
Practice Address - Fax:412-921-7261
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0150011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical