Provider Demographics
NPI:1871518902
Name:CONWAY, DEBORAH GRICE (LCSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:GRICE
Last Name:CONWAY
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 1:130 CRESTON DR
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2618
Mailing Address - Country:US
Mailing Address - Phone:412-466-0209
Mailing Address - Fax:412-882-9949
Practice Address - Street 1:580 S AIKEN AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1531
Practice Address - Country:US
Practice Address - Phone:412-623-3023
Practice Address - Fax:412-623-6114
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0122811041C0700X
PA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110214OtherUPMC
PA129635OtherVALUE OPTIONS
PA794584OtherHIGHMARK
PA129635OtherVALUE OPTIONS