Individual provider Active NPI

Mary Brodland Runevitch, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1043667256
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018520 Issued in PA
Practice address
7 Ruthfred Dr
Pittsburgh, PA 15241-1627
Phone
(412) 901-6737
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 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 CW018520 PA Primary

Addresses

Primary practice location

7 Ruthfred Dr
Pittsburgh, PA 15241-1627

Mailing address

7 Ruthfred Dr
Pittsburgh, PA 15241-1627
Phone (412) 901-6737

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1043667256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RUTHFRED DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411627",
            "telephone_number": "412-901-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RUTHFRED DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411627",
            "telephone_number": "412-901-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNEVITCH",
        "first_name": "MARY",
        "middle_name": "BRODLAND",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018520",
            "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 May 17, 2016; 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.