Individual provider Active NPI

Arthur C. Kusserow, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1154401644
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014395 Issued in PA
Practice address
4721 McKnight Rd
Suite 218S
Pittsburgh, PA 15237-3415
Phone
(412) 369-4285
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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 CW014395 PA Primary

Addresses

Primary practice location

4721 McKnight Rd
Suite 218S
Pittsburgh, PA 15237-3415

Mailing address

4721 McKnight Rd
Pittsburgh, PA 15237-3415
Phone (412) 418-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112001986 PA Practitioner - Clinical Social Worker 9931481645 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014395PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Pastoral Institute Clinical CurrentSince Nov 4, 2017 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
June V Isaly & Associates Inc CurrentSince Dec 1, 2016 Accepting new patients
Family Services of Western Pennsylvania Clinical Past Accepting new patients
Wesley Family Services Past Accepting new patients

Locations

1025 Liverpool St
Pittsburgh, PA 15233
Phone 4126611239 ext. 226

616 N Highland Ave
Pittsburgh, PA 15206
Phone (412) 441-3304

4721 McKnight Rd
Ste 218S
Pittsburgh, PA 15237
Phone (412) 369-4285

Interoperability endpoints

  • Direct secure messaging: arthurkusserow@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1154401644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-418-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD",
            "address_2": "SUITE 218S",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-369-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSSEROW",
        "first_name": "ARTHUR",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.