Individual provider Active NPI

Michelle Lynn Lombardo, LCSW

  • Clinical Social Worker
  • Hermitage, PA
National Provider Identifier
1184041410
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018126 Issued in PA
Practice address
1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501
Phone
(724) 300-3521
NPI assigned
Mar 25, 2014
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW130610 PA
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X CW018126 PA Primary

Addresses

Primary practice location

1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501

Mailing address

1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501
Phone (724) 300-3521

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
I20141029000283 PA Practitioner - Clinical Social Worker 5991926388 Reassigns benefits to 1 organization
Practice locations: Hermitage, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1961 Shenango Valley Fwy
Lowr Level
Hermitage, PA 16148-2501
Phone (724) 300-3521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW130610PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle L Lombardo Clinical CurrentSince Jul 1, 2022 Accepting new patients
Bloom to Vitality Therapy, LLC Clinical CurrentSince Aug 28, 2025 Accepting new patients

Locations

1961 Shenango Valley Fwy
Lowr
Hermitage, PA 16148
Phone (717) 862-5956

8419 Sharon Mercer Rd
Ste E
Mercer, PA 16137
Phone (724) 300-3521

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1184041410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 SHENANGO VALLEY FWY LOWR LEVEL",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482501",
            "telephone_number": "724-300-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 SHENANGO VALLEY FWY LOWR LEVEL",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482501",
            "telephone_number": "724-300-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130610",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.