Provider Demographics
NPI:1699962043
Name:MOUNTZ, KATHY ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:ANN
Last Name:MOUNTZ
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 1:116 ETON DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-1702
Mailing Address - Country:US
Mailing Address - Phone:412-781-4642
Mailing Address - Fax:
Practice Address - Street 1:310 CENTRAL PLAZA
Practice Address - Street 2:FAMILY SERVICES OF WESTERN PENNSYLVANIA
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15068
Practice Address - Country:US
Practice Address - Phone:724-335-9883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0158211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical