Individual provider Active NPI

Linda Marie Kallok, LSW

  • Social Worker
  • Rostraver Township, PA
National Provider Identifier
1114775327
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW135556 Issued in PA
Practice address
2115 Trebella Cir
Rostraver Township, PA 15012-3511
Phone
(866) 419-1693
NPI assigned
May 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135556 PA Primary

Addresses

Primary practice location

2115 Trebella Cir
Rostraver Township, PA 15012-3511

Mailing address

487 Dally Rd
Coal Center, PA 15423-1206
Phone (724) 322-5315

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW135556PAMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: kalloklm@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1114775327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 DALLY RD",
            "city": "COAL CENTER",
            "state": "PA",
            "postal_code": "154231206",
            "telephone_number": "724-322-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 TREBELLA CIR",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150123511",
            "telephone_number": "866-419-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLOK",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rostraver Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.