Basic Information
| Provider Information | |||||||||
| NPI: | 1518178185 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VARGO | ||||||||
| FirstName: | SETH | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 608 JASMINE CIR | ||||||||
| Address2: | |||||||||
| City: | ROSTRAVER TWP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150129603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243225326 | ||||||||
| FaxNumber: | 7244372761 | ||||||||
| Practice Location | |||||||||
| Address1: | 250 E FAYETTE ST | ||||||||
| Address2: | |||||||||
| City: | UNIONTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 154013834 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244370729 | ||||||||
| FaxNumber: | 7244372761 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2007 | ||||||||
| LastUpdateDate: | 06/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | SW125684 | PA | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | CW020857 | PA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.