Individual provider Active NPI

Akirah Wyatt, LCSW

  • Clinical Social Worker
  • York, PA
National Provider Identifier
1104203983
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019924 Issued in PA
Practice address
1101 Edgar St
York, PA 17403-2862
Phone
(717) 851-1500
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X SW131347 PA
Clinical Social Worker 1041C0700X CW019924 PA Primary

Addresses

Primary practice location

1101 Edgar St
York, PA 17403-2862

Mailing address

108 43Rd St
Pittsburgh, PA 15201-3139
Phone (412) 849-5929

Other practice location 1

5648 Friendship Ave
Pittsburgh, PA 15206-3610
Phone (412) 849-5929

Other names 1

  • Akirah Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW131347PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Akirah Wyatt Therapy LLC Clinical Current Accepting new patients
Ocd Spectrum, Inc PastSince Sep 10, 2023 Accepting new patients

Locations

211 N Whitfield St
Ste 300A
Pittsburgh, PA 15206
Phone (860) 966-6631

Organizations & group practices 2

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1104203983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 43RD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152013139",
            "telephone_number": "412-849-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EDGAR ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032862",
            "telephone_number": "717-851-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5648 Friendship Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152063610",
            "country_code": "US",
            "telephone_number": "412-849-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "AKIRAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "SW131347",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKIRAH",
            "last_name": "ROBINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.