Provider Demographics
NPI:1700992369
Name:RATHBUN, NARDA B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NARDA
Middle Name:B
Last Name:RATHBUN
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 1:354 COLEMAN DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4828
Mailing Address - Country:US
Mailing Address - Phone:412-372-1473
Mailing Address - Fax:
Practice Address - Street 1:519 PENN AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-2082
Practice Address - Country:US
Practice Address - Phone:412-824-8510
Practice Address - Fax:412-824-0948
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW013484101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA676717OtherHIGHMARK
PA124736OtherVALUE OPTIONS
PA146771OtherMAGELLAN
PA322742OtherTRI-CARE
PA322742OtherTRI-CARE