Barbara Anne Ivanko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

E Issued in PA

Practice address

580 S Aiken Ave
Pittsburgh, PA 15232-1531

Phone

(412) 623-3023

NPI assigned

Mar 14, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Barbara Anne Bannon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1013410281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INGLEWOOD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281508",
            "telephone_number": "561-351-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S AIKEN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321531",
            "telephone_number": "412-623-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANKO",
        "first_name": "BARBARA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BANNON",
            "middle_name": "ANNE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Itxm Diagnositics
• Itxm Diagnostics Inc
• Jerome M Itzkoff, MD
• Benjamin Michael Ivan, DMD
• Rachel Ivancie, CNM, APRN, WHNP-BC
• Emil Ivanov, MD
• Ivan Ivanov, ATC
• Danielle April Nicole Iverson-Chapa, MA
• Melody Ives, CRNP
• Matthew Edward Iwaniec, M.A.

• Clinical Social Worker in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.