Active NPI
Evolve Coaching, Inc.
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1033779855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EVOLVE COACHING, INC.
- Practice address
- 711 S 21St St Ste 218
Pittsburgh, PA 15203-2482 - Phone
- (412) 744-9017
- NPI assigned
- Jun 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Conroy, LCSW, BCBA
- Title
- Executive Director / Coach
- Phone
- (724) 787-5194
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
711 S 21St St Ste 218
Pittsburgh, PA 15203-2482
Mailing address
711 S 21St St Ste 218
Pittsburgh, PA 15203-2482
Phone (412) 744-9017
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Pittsburgh, PA
- NPI 1417378175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560470400000",
"number": "1033779855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 S 21ST ST STE 218",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032482",
"telephone_number": "412-744-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S 21ST ST STE 218",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032482",
"telephone_number": "412-744-9017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE COACHING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A",
"authorized_official_last_name": "CONROY",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR / COACH",
"authorized_official_telephone_number": "724-787-5194",
"authorized_official_credential": "LCSW, BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.