Provider Demographics
NPI:1518769447
Name:MYSEL, SOPHIA (LCSW)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:
Last Name:MYSEL
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 1:1800 MURRAY AVE UNIT 8134
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-6601
Mailing Address - Country:US
Mailing Address - Phone:561-379-7323
Mailing Address - Fax:
Practice Address - Street 1:1800 MURRAY AVE UNIT 8134
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-6601
Practice Address - Country:US
Practice Address - Phone:561-379-7323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0220021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical