Active NPI
Monica Waitkus, LCSW
- Clinical Social Worker
- Sewickley, PA
National Provider Identifier
1124598743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020151
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912353194 | Other | PA | HEATHER 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
| License | State | Type | Specialty |
|---|---|---|---|
| CW020151 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
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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.