| Doctor Name: | ROXANE MONGELLUZZO |
| NPI Number: | 1285690891 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LCSW |
| License Number: | CW008629L |
| Business Practice Address: | 416 S Pittsburgh St Connellsville, PA - 154254003 |
| Business Phone Number: | 7246268420 |
| Business Fax Number: | 7246280898 |
| Mailing Address: | 416 S Pittsburgh St, CONNELLSVILLE |
| State: | PA |
| Postal Code: | 154254003 |
| Phone Number: | 7246268420 |
| Fax Number: | 7246280898 |
| NPI Enumeration Date: | 04/22/2006 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW008629L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |