Provider Demographics
NPI:1811232085
Name:SHAWN MCGILL MSW CONSULTING LLC
Entity Type:Organization
Organization Name:SHAWN MCGILL MSW CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:HEATHER
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:412-478-8336
Mailing Address - Street 1:5618 MCCANDLESS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2230
Mailing Address - Country:US
Mailing Address - Phone:412-478-8336
Mailing Address - Fax:412-774-2240
Practice Address - Street 1:5618 MCCANDLESS AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2230
Practice Address - Country:US
Practice Address - Phone:412-478-8336
Practice Address - Fax:412-774-2240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102719085 0001Medicaid