Provider Demographics
NPI:1760757546
Name:FARBER, ADAM (LCSW)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:FARBER
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 1:441 BEAVER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1676
Mailing Address - Country:US
Mailing Address - Phone:845-548-0070
Mailing Address - Fax:412-202-5111
Practice Address - Street 1:441 BEAVER ST STE 201
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1676
Practice Address - Country:US
Practice Address - Phone:845-548-0070
Practice Address - Fax:412-202-5111
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127956104100000X
PACW0188751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker