Provider Demographics
NPI:1366430183
Name:MURRIN, MARY R (LCSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:R
Last Name:MURRIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 N MCKEAN ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4928
Mailing Address - Country:US
Mailing Address - Phone:724-282-0332
Mailing Address - Fax:724-282-2406
Practice Address - Street 1:349 N MCKEAN ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4928
Practice Address - Country:US
Practice Address - Phone:724-282-0332
Practice Address - Fax:724-282-2406
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0131351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA620266OtherHIGHMARK
PA620266OtherHIGHMARK
PA620266Medicare ID - Type Unspecified