Active NPI
Kevin M. Rico, LCSW
- Clinical Social Worker
- Irwin, PA
National Provider Identifier
1154318368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013643
- Practice address
- 624 Main St
Irwin, PA 15642-3407 - Phone
- (724) 863-0226
- Fax
- (724) 863-0226
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | CW013643 | PA | Primary |
Addresses
Primary practice location
624 Main St
Irwin, PA 15642-3407
Mailing address
1720 Melrose Ave
Irwin, PA 15642-3911
Phone (724) 863-3539
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001914725 | Other | PA | COMMUNITY CARE BEHAVIORAL |
| 104639 | Other | PA | UNITED BEHAVIORAL HEALTH |
| 324665 | Other | PA | UPMC INSURANCE |
| 454660 | Other | PA | VALUE OPTIONS |
| 559672 | Other | PA | BLUE CROSS BLUE SHIELD |
| 454660 | Other | PA | VALUE BEHAVIORAL HEALTH |
| 559672 | Other | PA | MAGELLAN INSURANCE |
| 0019147250001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060629000307 | PA | Practitioner - Clinical Social Worker | 7113939596 | Practice locations: Irwin, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
624 Main St
Irwin, PA 15642-3431
Phone (724) 863-0226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1154318368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 MELROSE AVE",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423911",
"telephone_number": "724-863-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MAIN ST",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423407",
"telephone_number": "724-863-0226",
"fax_number": "724-863-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "KEVIN",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CARE BEHAVIORAL",
"identifier": "001914725",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "104639",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC INSURANCE",
"identifier": "324665",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "454660",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "559672",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE BEHAVIORAL HEALTH",
"identifier": "454660",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN INSURANCE",
"identifier": "559672",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019147250001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.