Active NPI
Alysia D. Kirk, LCSW
- Clinical Social Worker
- Bethel Park, PA
National Provider Identifier
1083654818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014835
- Practice address
- 2884 Industrial Blvd Ste 2
Bethel Park, PA 15102-2580 - Phone
- (412) 254-3183
- NPI assigned
- Jun 8, 2006
- 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 | CW014835 | PA | Primary |
Addresses
Primary practice location
2884 Industrial Blvd Ste 2
Bethel Park, PA 15102-2580
Mailing address
1999 Ridge Rd
South Park, PA 15129-8802
Phone (412) 721-2648
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246257 | Other | PA | COMP PSYCH |
| 788901000 | Other | PA | AETNA |
| 1647712 | Other | PA | HIGHMARK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW014835 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel R Mangine PHD LLC | Past | Accepting new patients |
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.
-
- Psychologist
- Crafton, PA
- NPI 1467317081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1083654818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 RIDGE RD",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151298802",
"telephone_number": "412-721-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2884 INDUSTRIAL BLVD STE 2",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151022580",
"telephone_number": "412-254-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "ALYSIA",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMP PSYCH",
"identifier": "246257",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "788901000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1647712",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.