Provider Demographics
NPI:1194296772
Name:RAUSCH, LAURA BETH (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:BETH
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:BETH
Other - Last Name:FAUBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8045 HINSDALE LN
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057-3576
Mailing Address - Country:US
Mailing Address - Phone:570-716-2398
Mailing Address - Fax:
Practice Address - Street 1:200 HIGH TOWER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1135
Practice Address - Country:US
Practice Address - Phone:412-823-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-08
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0198341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical