Provider Demographics
NPI:1497721989
Name:EHRENPREIS, LINDA L (LCSW, ACSW, BCD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:EHRENPREIS
Suffix:
Gender:F
Credentials:LCSW, ACSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DARLINGTON CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1501
Mailing Address - Country:US
Mailing Address - Phone:412-421-9696
Mailing Address - Fax:
Practice Address - Street 1:4415 5TH AVE
Practice Address - Street 2:SUITE 128
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2654
Practice Address - Country:US
Practice Address - Phone:412-682-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW001207L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA645218OtherHIGHMARK
PA645218OtherUPMC HEALTH PLAN
PA645218OtherHIGHMARK