Individual provider Active NPI

Jean K Brannan, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1114917093
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013137 Issued in PA
Practice address
330 9TH St
South 9TH Street Center
Pittsburgh, PA 15215-2358
Phone
(412) 488-4040
Fax
(412) 488-4932
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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 CW013137 PA Primary

Addresses

Primary practice location

330 9TH St
South 9TH Street Center
Pittsburgh, PA 15215-2358

Mailing address

1200 Reedsdale St
Pittsburgh, PA 15233-2109
Phone (412) 323-8026

Other identifiers 1

IdentifierTypeStateIssuer
550459OtherPAHIGHMARK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003005564 PA Practitioner - Clinical Social Worker 8022383934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spiegel Freedman Psychological AssociatesGroup PAC ID 2365400934, 7 clinicians

Practice addresses (Care Compare)

105 Braunlich Dr
Suite 210
Pittsburgh, PA 15237-3351
Phone (412) 367-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spiegel Freedman Psychological Associates CurrentSince Jul 8, 2017 Accepting new patients

Locations

105 Braunlich Dr
Ste 210
Pittsburgh, PA 15237
Phone (412) 367-9800

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.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1114917093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109",
            "telephone_number": "412-323-8026",
            "fax_number": "412-323-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 9TH ST",
            "address_2": "SOUTH 9TH STREET CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152152358",
            "telephone_number": "412-488-4040",
            "fax_number": "412-488-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "JEAN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "550459",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.