Provider Demographics
NPI:1356452569
Name:PILARDI, RHONDA (LCSW, BCD)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:PILARDI
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BRADFORD RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6909
Mailing Address - Country:US
Mailing Address - Phone:724-940-9141
Mailing Address - Fax:
Practice Address - Street 1:101 BRADFORD RD
Practice Address - Street 2:SUITE 230
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-6909
Practice Address - Country:US
Practice Address - Phone:724-940-9141
Practice Address - Fax:724-940-9142
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0126541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
261368814OtherTAX IDENTIFICATION NUMBER
232883955OtherTAX ID NUMBER
261368814OtherTAX IDENTIFICATION NUMBER