Individual provider Active NPI

Isaiah Gwinn, LCSW

  • Clinical Social Worker
  • Glassport, PA
National Provider Identifier
1093075012
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019311 Issued in PA
Practice address
635 Monongahela Ave
Glassport, PA 15045
Phone
(412) 945-0745
Fax
(412) 290-7650
NPI assigned
May 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 CW019311 PA Primary

Addresses

Primary practice location

635 Monongahela Ave
Glassport, PA 15045

Mailing address

635 Monongahela Ave
Glassport, PA 15045-1607
Phone (412) 945-0745

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
I20141017000437 PA Practitioner - Clinical Social Worker 5395966279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CW019311PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sorec Inc. PastSince Sep 2, 2022 Accepting new patients
Redwood Medical PLLC PastSince Jun 12, 2022 Accepting new patients
Abs Peer Services, LLC PastSince Apr 1, 2020 Accepting new patients
Cognitive Focus Centers, Inc. Mental Health PastSince Apr 1, 2020 Accepting new patients

Organizations & group practices 4

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1093075012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MONONGAHELA AVE",
            "city": "GLASSPORT",
            "state": "PA",
            "postal_code": "150451607",
            "telephone_number": "412-945-0745",
            "fax_number": "412-290-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MONONGAHELA AVE",
            "city": "GLASSPORT",
            "state": "PA",
            "postal_code": "15045",
            "telephone_number": "412-945-0745",
            "fax_number": "412-290-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "ISAIAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassport, PA

Sources for this page

Verify at the official NPI Registry.