Provider Demographics
NPI:1982707352
Name:WADDINGTON, ROBERT DONALD (MSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:DONALD
Last Name:WADDINGTON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3342 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-7704
Mailing Address - Country:US
Mailing Address - Phone:724-658-1270
Mailing Address - Fax:724-658-1270
Practice Address - Street 1:UNIVERSITY DRIVE C
Practice Address - Street 2:131-A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240-1001
Practice Address - Country:US
Practice Address - Phone:412-784-3716
Practice Address - Fax:412-784-3724
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW000605L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical