Provider Demographics
NPI:1528078599
Name:COLANGELO, KORI ANDERSON (LSW)
Entity type:Individual
Prefix:MRS
First Name:KORI
Middle Name:ANDERSON
Last Name:COLANGELO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 DAWSON AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3211
Mailing Address - Country:US
Mailing Address - Phone:412-916-2026
Mailing Address - Fax:412-365-5778
Practice Address - Street 1:7180 HIGHLAND DR
Practice Address - Street 2:BLDG. # 5-DOMICILIARY (MAILING ROUTE # 122B-H)
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1206
Practice Address - Country:US
Practice Address - Phone:412-365-5227
Practice Address - Fax:412-365-5778
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1235431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical