Individual provider Active NPI

Todd Pungratz, LCSW, CAADC

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1174809198
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017787 Issued in PA
Practice address
4111 Penn Ave
Pittsburgh, PA 15224-1305
Phone
(855) 874-7763
Fax
(866) 920-9559
NPI assigned
Oct 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9662 PA
Clinical Social Worker 1041C0700X CW017787 PA Primary

Addresses

Primary practice location

4111 Penn Ave
Pittsburgh, PA 15224-1305

Mailing address

4608 Penn Ave
Pittsburgh, PA 15224-1309
Phone (412) 621-4757

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
I20131010000428 PA Practitioner - Clinical Social Worker 2668606450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spiegel Freedman Psychological AssociatesGroup PAC ID 2365400934, 7 clinicians

Practice addresses (Care Compare)

105 Braunlich Dr
Suite 210
Pittsburgh, PA 15237-3351
Phone (412) 367-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9662PAMDAddiction (Substance Use Disorder) Counselor
CW017787PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spiegel Freedman Psychological Associates CurrentSince Apr 29, 2025 Accepting new patients
Philadelphia Better Stories Psychiatry LLC PastSince Jun 5, 2022 Accepting new patients

Locations

105 Braunlich Dr
Ste 210
Pittsburgh, PA 15237
Phone (412) 367-9800

Organizations & group practices 2

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1174809198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241309",
            "telephone_number": "412-621-4757",
            "fax_number": "412-621-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241305",
            "telephone_number": "855-874-7763",
            "fax_number": "866-920-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNGRATZ",
        "first_name": "TODD",
        "credential": "LCSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "9662",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.