Provider Demographics
NPI:1265421788
Name:BARBABELLA, ANNE Y (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:Y
Last Name:BARBABELLA
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 1:470 STREETS RUN ROAD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-653-7829
Mailing Address - Fax:412-653-7828
Practice Address - Street 1:470 STREETS RUN ROAD
Practice Address - Street 2:SUITE 402
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236
Practice Address - Country:US
Practice Address - Phone:412-653-7829
Practice Address - Fax:412-653-7828
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW122792104100000X
PACW0153811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1437485OtherHIGHMARK
PA1437485OtherHIGHMARK