Provider Demographics
NPI:1982420162
Name:REICH, VICTORIA (LSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:REICH
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 1:1736 FILMORE ST
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-2006
Mailing Address - Country:US
Mailing Address - Phone:724-513-5568
Mailing Address - Fax:
Practice Address - Street 1:8050 ROWAN RD STE 301
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-3624
Practice Address - Country:US
Practice Address - Phone:724-513-5568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW142330104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker