Provider Demographics
NPI:1245314517
Name:WEINBERG, ANDREW ROSS (LCSW)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:ROSS
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2153 MOREDALE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-3421
Mailing Address - Country:US
Mailing Address - Phone:631-379-3827
Mailing Address - Fax:
Practice Address - Street 1:5301 BUTLER STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201
Practice Address - Country:US
Practice Address - Phone:412-441-9786
Practice Address - Fax:412-363-2375
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067971-11041C0700X
NY0757781041C0700X
PACW0177241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA388316KX2Medicare UPIN