Provider Demographics
NPI:1053583773
Name:D'ABRUZZO, MARTHA JANE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:JANE
Last Name:D'ABRUZZO
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2114
Mailing Address - Country:US
Mailing Address - Phone:412-680-4982
Mailing Address - Fax:
Practice Address - Street 1:5655 BRYANT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1511
Practice Address - Country:US
Practice Address - Phone:412-680-4982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA126352104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker