Provider Demographics
NPI:1467609230
Name:LYBARGER, KATHLEEN ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ANN
Last Name:LYBARGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:J
Other - Last Name:LYBARGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:VAPHS H. J. HEINZ PROGRESSIVE CARE CENTER
Mailing Address - Street 2:UNIVERSITY DR. C
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15240
Mailing Address - Country:US
Mailing Address - Phone:412-951-5273
Mailing Address - Fax:
Practice Address - Street 1:VAPHS H. J. HEINZ PROGRESSIVE CARE CENTER
Practice Address - Street 2:DELAFIELD RD.
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15214
Practice Address - Country:US
Practice Address - Phone:412-951-5273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0155421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical