Provider Demographics
NPI:1184274839
Name:MATSEY, KARA LYNN (LSW)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:MATSEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 BEAVER AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15233-2342
Mailing Address - Country:US
Mailing Address - Phone:412-434-6700
Mailing Address - Fax:
Practice Address - Street 1:1301 BEAVER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-2342
Practice Address - Country:US
Practice Address - Phone:412-434-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134211104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker