Individual
KELLY LYNNE RYAN-SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
408-410 E. 6TH AVE., TARENTUM, PA 15084
(412) 212-3111
Mailing address
410 E 6TH AVE, TARENTUM, PA 15084-1904
(412) 212-3111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW015675
PA
1041C0700X
Clinical Social Worker
CWO15675
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740274
PA BLUE SHEILD NUMBER
PA
Enumeration date
06/13/2007
Last updated
01/08/2025
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