Individual
MRS. ELIZABETH (BETSY) M MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LICSW,BCD
Contact information
Practice address
5750 BAUM BLVD, SUITE 309, PITTSBURGH, PA 15206
(412) 362-3600
Mailing address
5750 BAUM BLVD, SUITE 309, PITTSBURGH, PA 15206-3793
(412) 871-3438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
000113075
MA
1041C0700X
Clinical Social Worker
Primary
CW017609
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000113075
LICENSE NUMBER LICSW
MA
01
—
CW017609
PA LICENSE IN CLINICAL SOCIAL SOCIAL WORK
PA
01
—
PO8562
BLUE CROSS
MA
Enumeration date
07/09/2006
Last updated
12/03/2013
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