Active NPI
Lisa Marie McDonough, LCSW
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1063547172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW012432
- Practice address
- 1380 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-3127 - Phone
- (412) 963-9220
- Fax
- (412) 963-9115
- NPI assigned
- Feb 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW012432 | PA | Primary |
Addresses
Primary practice location
1380 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-3127
Mailing address
1380 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-3127
Phone (412) 963-9220
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 476649 | Other | PA | VALUE OPTIONS PROVIDER |
| 110239 | Other | PA | UPMC PROVIDER NUMBER |
| 590355 | Other | PA | HIGHMARK PROVIDER NUMBER |
| 234677 | Other | PA | MENTAL HEALTH NETWORK |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW012432 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063547172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 OLD FREEPORT RD",
"address_2": "SUITE 2B",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152383127",
"telephone_number": "412-963-9220",
"fax_number": "412-963-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 OLD FREEPORT RD",
"address_2": "SUITE 2B",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152383127",
"telephone_number": "412-963-9220",
"fax_number": "412-963-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW012432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER",
"identifier": "476649",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC PROVIDER NUMBER",
"identifier": "110239",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER NUMBER",
"identifier": "590355",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH NETWORK",
"identifier": "234677",
"state": "PA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.