Kevin R Porneluzi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017126 Issued in PA

Practice address

365 Franklin Hill Rd
Kittanning, PA 16201-8921

Phone

(724) 543-1888

Fax

(724) 543-1898

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Psychological Associates,LTD.Group PAC ID 9830136746, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Psychological Associates,LTD.

  • Mental Health Counselor
  • Kittanning, PA
  • NPI 1669412441
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1144309592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N WASHINGTON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014265",
            "telephone_number": "724-287-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 FRANKLIN HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162018921",
            "telephone_number": "724-543-1888",
            "fax_number": "724-543-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORNELUZI",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Lee Peterson, MD
• Phoenix Rehabilitation and Health Services, Inc.
• Phoenix Rehabilitation and Health Services, Inc.
• Pinnacle Health Services LLC (Butler Rehabilitation Centers)
• Pinnacle Health Services LLC (Butler Rehabilitation Centers)
• Amy Lynne Postupack, MPT
• Michael Pratkanis, RPH
• Sheila G Ranieri, L.C.S.W.
• Jennifer Brown Ravotti, OTR, CHT
• Barbara A Ray

• Clinical Social Worker in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.