Provider Demographics
NPI:1730934688
Name:SELLU, ANTHONIA MAANUWAH (LCSW)
Entity type:Individual
Prefix:
First Name:ANTHONIA
Middle Name:MAANUWAH
Last Name:SELLU
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 1:8700 PENNSYLVANIA AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2715
Mailing Address - Country:US
Mailing Address - Phone:724-863-7223
Mailing Address - Fax:
Practice Address - Street 1:8700 PENNSYLVANIA AVENUE
Practice Address - Street 2:SUITE 3
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-2715
Practice Address - Country:US
Practice Address - Phone:724-863-7223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0229071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical