Provider Demographics
NPI:1245321892
Name:HEIDISH, MAURICE JOSEPH (MSW LCSW)
Entity type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:JOSEPH
Last Name:HEIDISH
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2540 MONROEVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2329
Mailing Address - Country:US
Mailing Address - Phone:412-823-5155
Mailing Address - Fax:412-823-8262
Practice Address - Street 1:6401 PENN AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4051
Practice Address - Country:US
Practice Address - Phone:412-661-1670
Practice Address - Fax:412-665-8730
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PACW0129951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical