Provider Demographics
NPI:1245484898
Name:SEMPLICE, KATHERINE ANN (LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:SEMPLICE
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 1:401 SHADY AVE
Mailing Address - Street 2:SUITE D105
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4409
Mailing Address - Country:US
Mailing Address - Phone:412-860-6009
Mailing Address - Fax:412-283-9156
Practice Address - Street 1:401 SHADY AVE
Practice Address - Street 2:SUITE D105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4409
Practice Address - Country:US
Practice Address - Phone:412-860-6009
Practice Address - Fax:412-283-9156
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0159821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022229500001Medicaid
PA1485089OtherOUT OF STATE HIGHMARK
PA1619196987OtherGROUP NPI
PA1922232602OtherHIGHMARK
PA1619196987OtherGROUP NPI