Provider Demographics
NPI:1942690474
Name:ZEICHNER-CLOUTIER, GWEN (LCSW)
Entity type:Individual
Prefix:
First Name:GWEN
Middle Name:
Last Name:ZEICHNER-CLOUTIER
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 1:849 BOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1921
Mailing Address - Country:US
Mailing Address - Phone:412-561-5405
Mailing Address - Fax:412-561-4581
Practice Address - Street 1:1200 ASHWOOD DR
Practice Address - Street 2:STE 1201
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-4982
Practice Address - Country:US
Practice Address - Phone:412-561-5405
Practice Address - Fax:412-561-4581
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0183321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical