Provider Demographics
NPI:1548313554
Name:MCSPARREN, WENDY M (LCSW)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:M
Last Name:MCSPARREN
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 1:2282 ELMHILL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3664
Mailing Address - Country:US
Mailing Address - Phone:412-953-4151
Mailing Address - Fax:724-733-3498
Practice Address - Street 1:4115 WILLIAM PENN HWY STE 201
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1887
Practice Address - Country:US
Practice Address - Phone:724-733-3491
Practice Address - Fax:724-733-3498
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0123691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019063020001Medicaid
PA664198OtherBCBS PROVIDER NUMBER