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Provider Information for 1417140526


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Ms. SABRINA JESSICA HELLER LCSW


Sex: Female

NPI: 1417140526
Last Updated: 2020-01-03
Certification Date: 2020-01-03

Details

NameValue
NPI1417140526
Enumeration Date2007-08-22
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6301 FORBES AVE STE 120
PITTSBURGH, PA 15217-1725
United States

Phone: 412-298-2773 | Fax:
 
Primary Practice Address 6301 FORBES AVE STE 120
PITTSBURGH, PA 15217-1725
United States

Phone: 412-298-2773 | Fax:412-914-3820
 
Secondary Practice Address(es)

6315 FORBES AVE
STE B14
PITTSBURGH, PA 15217-1745
United States

Phone: 412-298-2773 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)PA000000228798Unison Advantage/CHIP
Other (non-Medicare)PA206 6758Highmark Blue Cross/Blue Shield Keystone Health Plan West
Other (non-Medicare)PA9201216AETNA
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalPACW016077