Provider Demographics
NPI:1396709614
Name:KUHN, CHARLES H (LCSW, BCD)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:H
Last Name:KUHN
Suffix:
Gender:M
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1388 FREEPORT RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3114
Mailing Address - Country:US
Mailing Address - Phone:412-963-6540
Mailing Address - Fax:412-963-8340
Practice Address - Street 1:1388 FREEPORT RD
Practice Address - Street 2:SUITE 202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3114
Practice Address - Country:US
Practice Address - Phone:412-963-6540
Practice Address - Fax:412-963-8340
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0128951041C0700X, 101YM0800X, 104100000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019131100001Medicaid
PA0019131100001Medicaid