Individual provider Active NPI

Summer-Elizabeth Jo Warynovich, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1104497775
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021908 Issued in PA
Practice address
138 Glenfield Dr
Pittsburgh, PA 15235-1923
Phone
(412) 297-6642
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 CW021908 PA Primary

Addresses

Primary practice location

138 Glenfield Dr
Pittsburgh, PA 15235-1923

Mailing address

138 Glenfield Dr
Pittsburgh, PA 15235-1923
Phone (412) 297-6642

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address summer.desai@upmcdirect.com

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

LicenseStateTypeSpecialty
CW021908PAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: summer.desai@upmcdirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1104497775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 GLENFIELD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152351923",
            "telephone_number": "412-297-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 GLENFIELD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152351923",
            "telephone_number": "412-297-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARYNOVICH",
        "first_name": "SUMMER-ELIZABETH",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "summer.desai@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.