| Gsm Therapeutic And Consulting Llc | |
|
322 N Shore Dr Bldg 1b Pittsburgh PA 15212-5875 | |
| (412) 595-6883 | |
| Not Available |
| Full Name | Gsm Therapeutic And Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 322 N Shore Dr Bldg 1b, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Genafie Mcknight (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4125956883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gsm Therapeutic And Consulting Llc 322 N Shore Dr Bldg 1b Pittsburgh PA 15212-5875 Ph: (412) 595-6883 | Gsm Therapeutic And Consulting Llc 322 N Shore Dr Bldg 1b Pittsburgh PA 15212-5875 Ph: (412) 595-6883 |
| NPI Number | 1124625611 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Medicare PECOS PAC ID | 0547679458 |
|---|---|
| Medicare Enrollment ID | O20210505002386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124625611 | NPI | - | NPPES |
| CW021339 | Other | PA | LICENSURE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Genafie Mcknight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649884990 PECOS PAC ID: 1456760362 Enrollment ID: I20210505002710 |
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