Active NPI
Regina Varnum, LCSW
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1134589344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018932
- Practice address
- 1425 Forbes Ave
Second Floor
Pittsburgh, PA 15219-5140 - Phone
- (412) 363-1702
- Fax
- (412) 363-3725
- NPI assigned
- Mar 1, 2016
- 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 | CW018932 | PA | Primary |
Addresses
Primary practice location
1425 Forbes Ave
Second Floor
Pittsburgh, PA 15219-5140
Mailing address
1425 Forbes Ave
Second Floor
Pittsburgh, PA 15219-5140
Phone (412) 363-1702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007276400018 | Medicaid | PA |
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 |
|---|---|---|---|
| CW018932 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1134589344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 FORBES AVE",
"address_2": "SECOND FLOOR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152195140",
"telephone_number": "412-363-1702",
"fax_number": "412-363-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 FORBES AVE",
"address_2": "SECOND FLOOR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152195140",
"telephone_number": "412-363-1702",
"fax_number": "412-363-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNUM",
"first_name": "REGINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-01",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007276400018",
"state": "PA"
}
],
"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 Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.