Individual provider Active NPI

Anna Rastatter, LCSW

  • Social Worker
  • Beaver, PA
National Provider Identifier
1013578152
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW021418 Issued in PA
Practice address
396 4TH St
Beaver, PA 15009-2369
Phone
(412) 353-9545
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW021418 PA Primary

Addresses

Primary practice location

396 4TH St
Beaver, PA 15009-2369

Mailing address

396 4TH St
Beaver, PA 15009-2369
Phone (412) 353-9545

Other identifiers 1

IdentifierTypeStateIssuer
SW135337MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW021418PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Three Pines Therapy, LLC CurrentSince Jan 26, 2025 Accepting new patients
Familylinks, Inc PastSince Oct 31, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1013578152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 4TH ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092369",
            "telephone_number": "412-353-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 4TH ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092369",
            "telephone_number": "412-353-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTATTER",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW021418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW135337",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.