Individual provider Active NPI

Monica Waitkus, LCSW

  • Clinical Social Worker
  • Sewickley, PA
National Provider Identifier
1124598743
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020151 Issued in PA
Practice address
344 Duquesne Way
Sewickley, PA 15143
Phone
(412) 330-1361
Fax
(888) 339-0756
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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 CW020151 PA Primary

Addresses

Primary practice location

344 Duquesne Way
Sewickley, PA 15143

Mailing address

25 Chartiers Ave
Rankin, PA 15104
Phone (304) 657-4711

Other identifiers 1

IdentifierTypeStateIssuer
1912353194OtherPAHEATHER NARAYAN

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
CW020151PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
P.K. Mullick, MD & Associates PC Current Accepting new patients

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": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1124598743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHARTIERS AVE",
            "city": "RANKIN",
            "state": "PA",
            "postal_code": "15104",
            "telephone_number": "304-657-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 DUQUESNE WAY",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "412-330-1361",
            "fax_number": "888-339-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITKUS",
        "first_name": "MONICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATHER NARAYAN",
            "identifier": "1912353194",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.