Active NPI
Jeffrey Allen Wisniewski, LCSW
- Clinical Social Worker
- Monroeville, PA
National Provider Identifier
1104591130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW024379
- Practice address
- 244 Center Rd Ste 301
Monroeville, PA 15146-1789 - Phone
- (412) 256-8256
- Fax
- (888) 971-4394
- NPI assigned
- Aug 11, 2021
- Sex
- Male
- Sole proprietor
- No
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 | CW024379 | PA | Primary |
Addresses
Primary practice location
244 Center Rd Ste 301
Monroeville, PA 15146-1789
Mailing address
244 Center Rd Ste 301
Monroeville, PA 15146-1789
Phone (412) 256-8256
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
244 Ctr Rd
Suite 301
Monroeville, PA 15146-1789
Phone (412) 256-8256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Ocd and Anxiety, LLC | Clinical | Current | Accepting new patients |
Locations
244 Center Rd
Ste 301
Monroeville, PA 15146
Phone (412) 256-8256
1121 Boyce Rd
Ste 2100
Pittsburgh, PA 15241
Phone (412) 256-8256
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.
-
- Clinical Social Worker
- Monroeville, PA
- NPI 1740786987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1104591130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 CENTER RD STE 301",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151461789",
"telephone_number": "412-256-8256",
"fax_number": "888-971-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 CENTER RD STE 301",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151461789",
"telephone_number": "412-256-8256",
"fax_number": "888-971-4394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNIEWSKI",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-11",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW024379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.