Provider Demographics
NPI:1891993358
Name:MAINALI, EMILEE JO (LSW MSW)
Entity Type:Individual
Prefix:MRS
First Name:EMILEE
Middle Name:JO
Last Name:MAINALI
Suffix:
Gender:F
Credentials:LSW MSW
Other - Prefix:MS
Other - First Name:EMILEE
Other - Middle Name:JO
Other - Last Name:GIRTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:624 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3311
Mailing Address - Country:US
Mailing Address - Phone:412-417-2440
Mailing Address - Fax:
Practice Address - Street 1:6315 FORBES AVE
Practice Address - Street 2:STE B014
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1700
Practice Address - Country:US
Practice Address - Phone:412-417-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125861101YM0800X
PACW0161031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health