Individual provider Active NPI

Justin Andrew Grotelueschen, DSW, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1154041101
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025461 Issued in PA
Practice address
6507 Wilkins Ave Ste 103
Pittsburgh, PA 15217-1305
Phone
(412) 979-6541
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 CW025461 PA Primary

Addresses

Primary practice location

6507 Wilkins Ave Ste 103
Pittsburgh, PA 15217-1305

Mailing address

6507 Wilkins Ave Ste 103
Pittsburgh, PA 15217-1305
Phone (412) 979-6541

Other practice location 1

1201 King Ave
Pittsburgh, PA 15206-1438
Phone (412) 979-6541

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
CW025461PAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: justin.grotelueschen@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1154041101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 WILKINS AVE STE 103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171305",
            "telephone_number": "412-979-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 WILKINS AVE STE 103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171305",
            "telephone_number": "412-979-6541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 King Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152061438",
            "country_code": "US",
            "telephone_number": "412-979-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROTELUESCHEN",
        "first_name": "JUSTIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025461",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 2025; 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.