Provider Demographics
NPI:1417439241
Name:MARKOVITZ, MERIDITH LEE
Entity Type:Individual
Prefix:
First Name:MERIDITH
Middle Name:LEE
Last Name:MARKOVITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 GAYWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2112
Mailing Address - Country:US
Mailing Address - Phone:412-401-5233
Mailing Address - Fax:
Practice Address - Street 1:301 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-3031
Practice Address - Country:US
Practice Address - Phone:412-429-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW020074104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker