Individual
KEVIN M. RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
624 MAIN ST, IRWIN, PA 15642-3407
(724) 863-0226
(724) 863-0226
Mailing address
1720 MELROSE AVE, IRWIN, PA 15642-3911
(724) 863-3539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013643
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001914725
COMMUNITY CARE BEHAVIORAL
PA
05
—
0019147250001
—
PA
01
—
104639
UNITED BEHAVIORAL HEALTH
PA
01
—
324665
UPMC INSURANCE
PA
01
—
454660
VALUE OPTIONS
PA
01
—
559672
BLUE CROSS BLUE SHIELD
PA
Enumeration date
10/03/2005
Last updated
10/26/2009
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