Provider Demographics
NPI:1396118485
Name:UNDER THE FIG TREE LLC
Entity type:Organization
Organization Name:UNDER THE FIG TREE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-407-7078
Mailing Address - Street 1:131 CATHEDRAL CT
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2263
Mailing Address - Country:US
Mailing Address - Phone:412-407-7078
Mailing Address - Fax:412-276-1114
Practice Address - Street 1:131 CATHEDRAL CT
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2263
Practice Address - Country:US
Practice Address - Phone:412-407-7078
Practice Address - Fax:412-276-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0186971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030085167Medicaid
PA465512OtherMEDICARE PTAN