Provider Demographics
NPI:1962492348
Name:MOLDOVAN, RENEE E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:E
Last Name:MOLDOVAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 NESBITT RD
Mailing Address - Street 2:STE 110
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-3408
Mailing Address - Country:US
Mailing Address - Phone:724-657-1881
Mailing Address - Fax:724-657-9178
Practice Address - Street 1:26 NESBITT RD
Practice Address - Street 2:STE 110
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3408
Practice Address - Country:US
Practice Address - Phone:724-657-1881
Practice Address - Fax:724-657-9178
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014970104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1659708OtherHIGHMARK BC/BS
PA090877Medicare ID - Type Unspecified
PA1659708OtherHIGHMARK BC/BS