Provider Demographics
NPI:1922329770
Name:CLAWSON, JOANNA (LSW)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:CLAWSON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MRS
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:MITTEREDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:200 CEDAR RIDGE DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9691
Mailing Address - Country:US
Mailing Address - Phone:800-327-7488
Mailing Address - Fax:
Practice Address - Street 1:200 CEDAR RIDGE DR
Practice Address - Street 2:SUITE 208
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9691
Practice Address - Country:US
Practice Address - Phone:800-327-7488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW006139E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker