| Jody Bechtold, Lcsw, Llc | |
|
20 Cedar Blvd Suite 204 Pittsburgh PA 15228-1330 | |
| (412) 303-0163 | |
| Not Available |
| Full Name | Jody Bechtold, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 20 Cedar Blvd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Jody Bechtold (OWNER) |
| Authorized Official Contact | 4123030163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Bechtold, Lcsw, Llc 2641 Pioneer Ave Pittsburgh PA 15226-2048 Ph: (412) 303-0163 | Jody Bechtold, Lcsw, Llc 20 Cedar Blvd Suite 204 Pittsburgh PA 15228-1330 Ph: (412) 303-0163 |
| NPI Number | 1558596817 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 05/15/2009 |
| Medicare PECOS PAC ID | 3274898598 |
|---|---|
| Medicare Enrollment ID | O20180607000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558596817 | NPI | - | NPPES |
| CW015486 | Other | PA | LCSW |
| 1104982412 | Other | PA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW015486 (Pennsylvania) | Primary |
| Provider Name | Robert D Bumbaco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184917593 PECOS PAC ID: 0941424469 Enrollment ID: I20140624000244 |
| Provider Name | Jody Rae Bechtold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104982412 PECOS PAC ID: 4183989403 Enrollment ID: I20180607000229 |
| Provider Name | Evan Christian Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053970905 PECOS PAC ID: 0840605218 Enrollment ID: I20210217000229 |
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