Provider Demographics
NPI:1952889594
Name:MCCABE, KAILEY (LCSW)
Entity Type:Individual
Prefix:
First Name:KAILEY
Middle Name:
Last Name:MCCABE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KAILEY
Other - Middle Name:
Other - Last Name:BRINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:85 PASADENA ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-2170
Mailing Address - Country:US
Mailing Address - Phone:724-388-1064
Mailing Address - Fax:
Practice Address - Street 1:5840 ELLSWORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1712
Practice Address - Country:US
Practice Address - Phone:724-388-1064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134346101YA0400X
PACW0212691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)