Provider Demographics
NPI:1750532198
Name:BERTOVICH, AMBER DAWN (LCSW)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:DAWN
Last Name:BERTOVICH
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 1:927 BROOKLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-2181
Mailing Address - Country:US
Mailing Address - Phone:412-213-8022
Mailing Address - Fax:
Practice Address - Street 1:927 BROOKLINE BLVD # S
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15226-2181
Practice Address - Country:US
Practice Address - Phone:412-213-8022
Practice Address - Fax:412-882-4092
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0163421041C0700X
PASW1261421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical