Provider Demographics
NPI:1912104662
Name:CENKNER, PAULA RENEE (MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:RENEE
Last Name:CENKNER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 CLAY PIKE ROAD
Mailing Address - Street 2:
Mailing Address - City:ACME
Mailing Address - State:PA
Mailing Address - Zip Code:15610
Mailing Address - Country:US
Mailing Address - Phone:724-787-6600
Mailing Address - Fax:
Practice Address - Street 1:814 E PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3502
Practice Address - Country:US
Practice Address - Phone:724-850-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW126110104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker