Provider Demographics
NPI:1659120152
Name:PEARSON, DONNA CHRISTINE (LSW)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:CHRISTINE
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 ARDMORE BLVD STE 800
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-5238
Mailing Address - Country:US
Mailing Address - Phone:814-494-5213
Mailing Address - Fax:
Practice Address - Street 1:2400 ARDMORE BLVD STE 800
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-5238
Practice Address - Country:US
Practice Address - Phone:814-494-5213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141321104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker