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Contact Information

DEERFIELD BEHAVIORAL HEALTH OF WARREN, LLC
1885 MARKET ST
WARREN, PA16365-1277
 Phone: 814-723-5545
 Fax: 814-723-6355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Professional

101YP2500X
 

Rehabilitation, Substance Use Disorder

261QR0405X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for DEERFIELD BEHAVIORAL HEALTH OF WARREN LLC · (Female)

NPI Number 1134158314
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2006
Last updated 03/06/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # 627023
  • PA License # CW013526
  • PA License # MD016835E
  • PA License # MD042901L
  • PA License # MD050021L
  • PA License # MD051025L
  • PA License # MD055978L
  • PA License # MD061131L
  • PA License # MD425828
  • PA License # PC001117
  • PA License # PC004260
  • PA License # PS006787L
  • PA License # SW123097
  • PA License # UP006505B
  • PA Medicaid 0015930840007
  • PA Medicaid 0015930840009
  • PA Medicaid 0015930840010
  • PA Medicaid 0015930840011
  • PA Medicaid 0015930840012
  • Other 330194 VALUE OPTIONS
  • PA Other 1436176 HIGHMARK BLUE SHIELD
  • PA Other 0828 HIGHMARK FACILITY
  • PA Other 1436227 KEYSTONE HIGHMARK
  • PA Other CD5207 RAILROAD MEDICARE
  • PA Other 0050598001 UNIVERA HEALTH CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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