Provider Demographics
NPI:1386793867
Name:KAISER, SHEREE (LCSW)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:
Last Name:KAISER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 ERIN CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3918
Mailing Address - Country:US
Mailing Address - Phone:412-367-1732
Mailing Address - Fax:412-749-7339
Practice Address - Street 1:111 HAZEL LANE
Practice Address - Street 2:SUITE300
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1253
Practice Address - Country:US
Practice Address - Phone:412-749-7683
Practice Address - Fax:412-749-7339
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011407L1041C0700X
PACW018393104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical