Provider Demographics
NPI:1881680643
Name:COLATRIANO, ROSEMARIE ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:ANN
Last Name:COLATRIANO
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 1:838 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:PA
Mailing Address - Zip Code:15059-1512
Mailing Address - Country:US
Mailing Address - Phone:724-508-0166
Mailing Address - Fax:724-508-0166
Practice Address - Street 1:838 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:PA
Practice Address - Zip Code:15059-1512
Practice Address - Country:US
Practice Address - Phone:724-508-0166
Practice Address - Fax:724-508-0166
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW009584L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA043823NYTMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER