Provider Demographics
NPI:1902924798
Name:ROHALL, NICHOLAS JOHN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:JOHN
Last Name:ROHALL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-8671
Mailing Address - Country:US
Mailing Address - Phone:724-657-3303
Mailing Address - Fax:724-657-3326
Practice Address - Street 1:2703 W STATE ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-8645
Practice Address - Country:US
Practice Address - Phone:724-657-3033
Practice Address - Fax:724-657-3326
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW015341104100000X, 106H00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7387365OtherAETNA BEHAVIORAL HEALTH
PA2284499OtherCIGNA BEHAVIORAL HEALTH
PAR0269342OtherHIGHMARK MID-LEVEL FEP
12765440OtherMULTIPLAN
PA454362OtherVALUE OPTIONS EAP
PA000269342OtherKEYSTONE HEALTH PLAN WEST
PA1034569900001Medicaid
PA251830792OtherCORP HEALTH/HUMANA
PA251830792OtherINTERGROUP SERVICES CORPORATION
PA000000203334OtherUNISON
PA229266000OtherMAGEALLAN BEHAVIORAL HEAL
PA25-1830792OtherMH NET
PA2701966OtherUNITED HEALTHCARE
PA25-1830792Medicaid
PA000000203334OtherUNISON
PA251830792OtherCORP HEALTH/HUMANA
PAS90557Medicare UPIN
PA$$$$$$$$$OtherRAILROAD MEDICARE/PALMETTO GBA