Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | SW132782 | PA |
Y | 1041C0700X | Clinical Social Worker | CW021779 | PA |
NPI | 1003367616 |
---|---|
Provider Name | Ms. Vicki L Spring |
First Address | Pittsburgh, PA 15237-4564 |
Second Address | Wexford, PA 15090-9227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2016 |
Last Update Date | 05/07/2021 |