Individual provider Active NPI

Mary Silvestros, LSW

  • Clinical Social Worker
  • Canonsburg, PA
National Provider Identifier
1164812525
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018717 Issued in PA
Practice address
135 Technology Dr Ste 312
Canonsburg, PA 15317-9549
Phone
(724) 209-4970
Fax
(724) 307-4135
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 CW018717 PA Primary

Addresses

Primary practice location

135 Technology Dr Ste 312
Canonsburg, PA 15317-9549

Mailing address

2400 Ansys Dr Ste 102
Canonsburg, PA 15317-0403
Phone (724) 209-4970

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006001991 PA Practitioner - Clinical Social Worker 0840508107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MLS Mindful Therapy PCGroup PAC ID 2961823703, 4 clinicians

Practice addresses (Care Compare)

135 Technology Dr
Suite 312
Canonsburg, PA 15317-9549
Phone (724) 209-4970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018717PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MLS Mindful Therapy PC Clinical CurrentSince May 1, 2020 Accepting new patients
Psychotherapy Associates, Inc. CurrentSince Sep 11, 2015 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

2400 Ansys Dr
Ste 102
Canonsburg, PA 15317
Phone (412) 737-0990

1200 Ashwood Dr
Ste 1201
Canonsburg, PA 15317
Phone (724) 884-0466

135 Technology Dr
Ste 312
Canonsburg, PA 15317
Phone (724) 209-4970

Interoperability endpoints

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

Organizations & group practices 3

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1164812525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ANSYS DR STE 102",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153170403",
            "telephone_number": "724-209-4970",
            "fax_number": "724-307-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TECHNOLOGY DR STE 312",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179549",
            "telephone_number": "724-209-4970",
            "fax_number": "724-307-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVESTROS",
        "first_name": "MARY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.