Provider Demographics
NPI:1841204781
Name:LAMPE, RITA (LCSW)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:LAMPE
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 1:1407 MOUNT ROYAL BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-2205
Mailing Address - Country:US
Mailing Address - Phone:412-455-6890
Mailing Address - Fax:412-455-6891
Practice Address - Street 1:1407 MOUNT ROYAL BLVD
Practice Address - Street 2:
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-2205
Practice Address - Country:US
Practice Address - Phone:412-455-6890
Practice Address - Fax:412-455-6891
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0136641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA162264OtherBC/BS