Individual provider Active NPI

John Stuart Hartline, L.M.S.W

  • Clinical Social Worker
  • Wexford, PA
National Provider Identifier
1144347485
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016070 Issued in PA
Practice address
9500 Brooktree Rd Ste 207
Wexford, PA 15090
Phone
(412) 605-4697
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 CW016070 PA Primary

Addresses

Primary practice location

9500 Brooktree Rd Ste 207
Wexford, PA 15090

Mailing address

9500 Brooktree Rd Ste 207
Wexford, PA 15090-9227
Phone (412) 605-4697

Other practice location 1

12450 Perry Hwy
Wexford, PA 15090-7387
Phone (724) 933-5100 ext. 157

Other identifiers 1

IdentifierTypeStateIssuer
3022440MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016070PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soka Services Clinical Past 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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1144347485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BROOKTREE RD STE 207",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909227",
            "telephone_number": "412-605-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BROOKTREE RD STE 207",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "412-605-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12450 Perry Hwy",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150907387",
            "country_code": "US",
            "telephone_number": "724-933-5100 x157",
            "fax_number": "724-933-4076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "JOHN",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3022440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.