Individual provider Active NPI

Susan R Blinn, LCSW DIPLOMATE

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1114027240
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW001917L Issued in PA
Practice address
1824 Murray Avenue
Suite 303
Pittsburgh, PA 15217-1655
Phone
(412) 521-9442
Fax
(412) 521-0931
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW001917L PA Primary

Addresses

Primary practice location

1824 Murray Avenue
Suite 303
Pittsburgh, PA 15217-1655

Mailing address

1824 Murray Avenue
Suite 303
Pittsburgh, PA 15217-1655
Phone (412) 521-9442

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
CW001917LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114027240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MURRAY AVENUE",
            "address_2": "SUITE 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171655",
            "telephone_number": "412-521-9442",
            "fax_number": "412-521-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURRAY AVENUE",
            "address_2": "SUITE 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171655",
            "telephone_number": "412-521-9442",
            "fax_number": "412-521-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINN",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "LCSW DIPLOMATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW001917L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; 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.