Provider Demographics
NPI:1821007766
Name:RABOLD, RONALD HENRY (MSW LCSW)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:HENRY
Last Name:RABOLD
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 ARNDT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1413
Mailing Address - Country:US
Mailing Address - Phone:412-365-4743
Mailing Address - Fax:412-365-4965
Practice Address - Street 1:UNIVERSITY DRIVE C
Practice Address - Street 2:VA PITTSBURGH HEALTH CARE SYSTEM
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-365-4743
Practice Address - Fax:412-365-4965
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0150111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical