Provider Demographics
NPI:1700801990
Name:GERSE, DEBRA S (LCSW)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:S
Last Name:GERSE
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 1:421 ALPINE VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3752
Mailing Address - Country:US
Mailing Address - Phone:724-387-8046
Mailing Address - Fax:
Practice Address - Street 1:777 PENN CENTER BLVD
Practice Address - Street 2:BUILDING 7, SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5927
Practice Address - Country:US
Practice Address - Phone:412-243-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0158831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW015883OtherLICENSE CLINICAL SOCIAL WORKER