Provider Demographics
NPI:1568897106
Name:VINCENT, ROCHANNE L (LCSW)
Entity Type:Individual
Prefix:
First Name:ROCHANNE
Middle Name:L
Last Name:VINCENT
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 1:4810 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2168
Mailing Address - Country:US
Mailing Address - Phone:412-578-9700
Mailing Address - Fax:
Practice Address - Street 1:4748 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2034
Practice Address - Country:US
Practice Address - Phone:412-578-9700
Practice Address - Fax:412-578-9800
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0178081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical