Provider Demographics
NPI:1922171354
Name:NEWMAN-TRIVUS, HEATHER B (MSW,LCSW,ACSW,BCD)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:B
Last Name:NEWMAN-TRIVUS
Suffix:
Gender:F
Credentials:MSW,LCSW,ACSW,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 NEW BEDFORD DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6472
Mailing Address - Country:US
Mailing Address - Phone:813-951-8328
Mailing Address - Fax:813-684-8708
Practice Address - Street 1:615 WASHINGTON RD STE 504
Practice Address - Street 2:EXECUTIVE BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1926
Practice Address - Country:US
Practice Address - Phone:412-343-1009
Practice Address - Fax:412-343-1009
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO132541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
000634534OtherUBH
PA887679OtherBLUE CROSS BLUE SHIELD
PA857676OtherMAGELLAN
PA10088OtherGREENSPRINGS OF W. PA
109420OtherTRICARE HEALTH NET SERVIC
208675OtherMENTAL HEALTH NETWORK
PA110212OtherUPMC
712086OtherAETNA U. S. HEALTHCARE
109420OtherVALUE OPTIONS
PA1553385OtherCBHNP GATEWAY MEDICARE AS
712086OtherAETNA U. S. HEALTHCARE
634534Medicare ID - Type Unspecified