Provider Demographics
NPI:1407675408
Name:DAW, KATHRYN II (LSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:DAW
Suffix:II
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:GLOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:200 OLYMPIC RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2850
Mailing Address - Country:US
Mailing Address - Phone:412-519-2299
Mailing Address - Fax:
Practice Address - Street 1:200 OLYMPIC RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2850
Practice Address - Country:US
Practice Address - Phone:412-519-2299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134469104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker