Provider Demographics
NPI:1598808388
Name:BOZIGAR, JAMES A (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:BOZIGAR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3229 PARKVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-4513
Mailing Address - Country:US
Mailing Address - Phone:412-638-6800
Mailing Address - Fax:412-605-0526
Practice Address - Street 1:590 S BRADDOCK AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-3217
Practice Address - Country:US
Practice Address - Phone:412-638-6800
Practice Address - Fax:412-605-0526
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0121541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA700646OtherHIGHMARK OF PENNSYLVANIA