Provider Demographics
NPI:1417140526
Name:HELLER, SABRINA JESSICA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:JESSICA
Last Name:HELLER
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 1:6301 FORBES AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1725
Mailing Address - Country:US
Mailing Address - Phone:412-298-2773
Mailing Address - Fax:
Practice Address - Street 1:6301 FORBES AVE STE 120
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1725
Practice Address - Country:US
Practice Address - Phone:412-298-2773
Practice Address - Fax:412-914-3820
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0160771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000228798OtherUNISON ADVANTAGE/CHIP
PA206 6758OtherHIGHMARK BLUE CROSS/BLUE SHIELD KEYSTONE HEALTH PLAN WEST
PA9201216OtherAETNA
PA000000228798OtherUNISON ADVANTAGE/CHIP