Provider Demographics
NPI:1457304263
Name:MANCINI, JUDITH S (MSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:S
Last Name:MANCINI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:E
Other - Last Name:SCHLAPPI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:109 GLEN DAVID DRIVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1513
Mailing Address - Country:US
Mailing Address - Phone:412-967-9328
Mailing Address - Fax:412-967-9328
Practice Address - Street 1:409 MILL STREET
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-1607
Practice Address - Country:US
Practice Address - Phone:412-299-6160
Practice Address - Fax:412-967-9328
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW001294L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
R08449Medicare UPIN
667129Medicare ID - Type Unspecified