Individual provider Active NPI

Evan Christian Dean

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1053970905
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW130347 Issued in PA
Practice address
20 Cedar Blvd Ste 204
Pittsburgh, PA 15228-1330
Phone
(412) 343-0613
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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 SW130347 PA Primary

Addresses

Primary practice location

20 Cedar Blvd Ste 204
Pittsburgh, PA 15228-1330

Mailing address

512 McCully St
Pittsburgh, PA 15216-1522
Phone (412) 965-6278

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
I20210217000229 PA Practitioner - Clinical Social Worker 0840605218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW130347PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jody Bechtold, LCSW, LLC CurrentSince Feb 12, 2021 Accepting new patients

Locations

20 Cedar Blvd
Ste 204
Pittsburgh, PA 15228
Phone (412) 303-0163

1145 Bower Hill Rd
Ste 206
Pittsburgh, PA 15243
Phone (412) 279-5372

Organizations & group practices 1

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1053970905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MCCULLY ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161522",
            "telephone_number": "412-965-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR BLVD STE 204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281330",
            "telephone_number": "412-343-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "EVAN",
        "middle_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.