Individual
KEVIN M. RICO
Active
Individual
KEVIN M. RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
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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