Provider Demographics
NPI:1841486370
Name:BURNS, SEAN T (LCSW; MDIV; MSW)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:T
Last Name:BURNS
Suffix:
Gender:M
Credentials:LCSW; MDIV; MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4804
Mailing Address - Country:US
Mailing Address - Phone:412-856-9582
Mailing Address - Fax:412-856-9582
Practice Address - Street 1:4327 NORTHERN PIKE
Practice Address - Street 2:SUITE 201-203
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2810
Practice Address - Country:US
Practice Address - Phone:412-373-2234
Practice Address - Fax:412-373-5586
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW126002104100000X
PACW0164991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker