Provider Demographics
NPI:1730295528
Name:NIERMANN, GAIL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:
Last Name:NIERMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:ODOEMENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2341 MCNARY BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235
Mailing Address - Country:US
Mailing Address - Phone:412-897-9915
Mailing Address - Fax:
Practice Address - Street 1:434 ALLEGHENY RIVER BLVD
Practice Address - Street 2:STE 215 CREATIVE LIVING CENTER
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139
Practice Address - Country:US
Practice Address - Phone:412-897-9915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0128501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical