Provider Demographics
NPI:1568269835
Name:KREIMER, MARTHA A
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:A
Last Name:KREIMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6557 BARTLETT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1833
Mailing Address - Country:US
Mailing Address - Phone:412-448-8201
Mailing Address - Fax:
Practice Address - Street 1:6557 BARTLETT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1833
Practice Address - Country:US
Practice Address - Phone:412-448-8201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW002034L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW002034LOtherPA BOARD OF LICENSES
PACW002034LOtherSOCIAL WORKER