Provider Demographics
NPI:1023362878
Name:SOBIERALSKI, NADINE CLARE (LCSW)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:CLARE
Last Name:SOBIERALSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NADINE
Other - Middle Name:CLARE
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 5545
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-0545
Mailing Address - Country:US
Mailing Address - Phone:724-457-0858
Mailing Address - Fax:330-953-1364
Practice Address - Street 1:99 AUTUMN ST
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-1301
Practice Address - Country:US
Practice Address - Phone:724-857-3570
Practice Address - Fax:724-375-5756
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW613068701041C0700X
ORL129831041C0700X
PACW0191821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical