Provider Demographics
NPI:1174915052
Name:RYAN, NATALIE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:RYAN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 GROMWELL LN
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2074
Mailing Address - Country:US
Mailing Address - Phone:412-889-3635
Mailing Address - Fax:412-621-6519
Practice Address - Street 1:1945 5TH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5547
Practice Address - Country:US
Practice Address - Phone:412-246-1649
Practice Address - Fax:412-621-6519
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127996104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker