Provider Demographics
NPI:1104983725
Name:SACCO, ORLANDO JAMES (MSW LPC LICSW)
Entity type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:JAMES
Last Name:SACCO
Suffix:
Gender:M
Credentials:MSW LPC LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6710
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-233-4435
Mailing Address - Fax:304-233-4436
Practice Address - Street 1:2204 EOFF ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-233-4435
Practice Address - Fax:304-233-4436
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV866101YP2500X
WVDP004506841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
295055OtherMANAGED HEALTH NETWORK
7164315OtherAETNA
WV00171122OtherBC BS
277955OtherVALUE OPTIONS
WVY098359AOtherTHE HEALTH PLAN
WVOH9319651Medicare ID - Type Unspecified
WV00171122OtherBC BS