Individual provider Active NPI

Nicole Marinacci-Magee, LCSW

  • Clinical Social Worker
  • Moon Township, PA
National Provider Identifier
1023560950
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017993 Issued in PA
Practice address
1000 Commerce Dr
Suite 1008
Moon Township, PA 15108-4739
Phone
(412) 299-8404
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017993 PA Primary

Addresses

Primary practice location

1000 Commerce Dr
Suite 1008
Moon Township, PA 15108-4739

Mailing address

1233 Swearingen Rd
Weirton, WV 26062-4330
Phone (412) 973-9347

Other names 1

  • Nicole Marinacci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109000835 PA Practitioner - Clinical Social Worker 7214218189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Mar 1, 2024 Accepting new patients
Persoma P.C. CurrentSince Mar 1, 2023 Accepting new patients

Locations

1370 Washington Pike
Ste 303
Bridgeville, PA 15017
Phone (412) 206-0123

2540 Monroeville Blvd
Monroeville, PA 15146
Phone (412) 206-1411

300 Oxford Dr
Ste 110
Monroeville, PA 15146
Phone 4128235155801

1000 Commerce Dr
Ste 1008
Moon Township, PA 15108
Phone (412) 299-8404

230 N Craig St
Ste B
Pittsburgh, PA 15213
Phone (412) 621-3777

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1023560950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SWEARINGEN RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624330",
            "telephone_number": "412-973-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCE DR",
            "address_2": "SUITE 1008",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084739",
            "telephone_number": "412-299-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINACCI-MAGEE",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MARINACCI",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.