Provider Demographics
NPI:1881706554
Name:FOSTER, ARVONDA W (MSW)
Entity type:Individual
Prefix:
First Name:ARVONDA
Middle Name:W
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 POPLAR LN
Mailing Address - Street 2:UPPER LEVEL SUITE A
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8969
Mailing Address - Country:US
Mailing Address - Phone:724-557-6598
Mailing Address - Fax:724-430-8967
Practice Address - Street 1:30 POPLAR LN
Practice Address - Street 2:UPPER LEVEL SUITE A
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8969
Practice Address - Country:US
Practice Address - Phone:724-557-6598
Practice Address - Fax:724-430-8967
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW011457L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker