Organization Active NPI

Keystone Counseling & Social Services LLC

  • Clinical Social Worker
  • Brownsville, PA
National Provider Identifier
1033660238
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018112 Issued in PA
Legal business name
KEYSTONE COUNSELING & SOCIAL SERVICES LLC
Practice address
130 Woodland CT Ste 1
Brownsville, PA 15417-9383
Phone
(724) 317-2139
NPI assigned
Oct 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Brandi Lee Szabo, LCSWNPI 1447688957
Title
Members
Phone
(724) 317-2139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW018112 PA Primary

Addresses

Primary practice location

130 Woodland CT Ste 1
Brownsville, PA 15417-9383

Mailing address

113 Memorial St
Dunbar, PA 15431-1621
Phone (724) 317-2139

Other identifiers 1

IdentifierTypeStateIssuer
1447688957OtherPAPERSONAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190214000094 PA Part B Supplier - Clinic/Group Practice 2163760372 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, PA; Lemont Furnace, PA

National Provider Directory

National Provider Directory

Locations

130 Woodland Ct
Ste 1
Brownsville, PA 15417
Phone (724) 317-2139

1040 Eberly Way
Ste 291
Lemont Furnace, PA 15456
Phone (724) 880-0740

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1033660238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MEMORIAL ST",
            "city": "DUNBAR",
            "state": "PA",
            "postal_code": "154311621",
            "telephone_number": "724-317-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WOODLAND CT STE 1",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154179383",
            "telephone_number": "724-317-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE COUNSELING & SOCIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-23",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "SZABO",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBERS",
        "authorized_official_telephone_number": "724-317-2139",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1447688957",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.