Provider Demographics
NPI:1376378646
Name:PIRRONELLO, TRACEY (LMSW)
Entity type:Individual
Prefix:
First Name:TRACEY
Middle Name:
Last Name:PIRRONELLO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3147
Mailing Address - Country:US
Mailing Address - Phone:734-787-1970
Mailing Address - Fax:
Practice Address - Street 1:555 RIAL LN
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4683
Practice Address - Country:US
Practice Address - Phone:724-527-1096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141056104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker