Provider Demographics
NPI:1801431994
Name:GALLO, ASHLEY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:GALLO
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 1:2000 E CARSON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1957
Mailing Address - Country:US
Mailing Address - Phone:412-609-6762
Mailing Address - Fax:412-404-3972
Practice Address - Street 1:2000 E CARSON ST STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1957
Practice Address - Country:US
Practice Address - Phone:412-609-6762
Practice Address - Fax:412-404-3972
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-12
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136582104100000X
PACW0221231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty