Provider Demographics
NPI:1285761171
Name:MUSOKE, ANNETTE NDAGIRE (MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:NDAGIRE
Last Name:MUSOKE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TURTLE CREEK VALLEY MH MR, WRAPAROUND SERVICES
Mailing Address - Street 2:STEEL VALLEY COG. BLDG., 1705 MAPLE ST.
Mailing Address - City:HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120
Mailing Address - Country:US
Mailing Address - Phone:412-464-4781
Mailing Address - Fax:412-464-1531
Practice Address - Street 1:TURTLE CREEK VALLEY MH MR, OUTPATIENT AND WRAPAROUN
Practice Address - Street 2:STEEL VALLEY COG. BLDG., 1705 MAPLE ST.
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120
Practice Address - Country:US
Practice Address - Phone:412-464-4781
Practice Address - Fax:412-464-1531
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124614104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker