Individual provider Active NPI

Kathleen Dzura

  • Clinical Social Worker
  • Washington, PA
National Provider Identifier
1184059065
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018089 Issued in PA
Practice address
255 Arabian LN
Washington, PA 15301-0905
Phone
(724) 263-6635
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 CW018089 PA Primary

Addresses

Primary practice location

255 Arabian LN
Washington, PA 15301-0905

Mailing address

PO Box 155
Meadow Lands, PA 15347-0155

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
I20150115001992 PA Practitioner - Clinical Social Worker 0749504009 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018089PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Community Care Current Accepting new patients
Dzura Counseling and Wellness CurrentSince Jul 28, 2025 Accepting new patients
Upmc Advanced Practice Providers Current Accepting new patients
Sondermind, P.a. Mental Health CurrentSince Nov 18, 2025 Accepting new patients
Upmc Advanced Practice Providers Clinical CurrentSince Jun 1, 2020 Accepting new patients

Locations

1300 Oxford Dr
Ste Llb
Bethel Park, PA 15102
Phone (412) 851-8717

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

11279 Perry Hwy
Wexford, PA 15090
Phone (724) 933-1000

11279 Perry Hwy
Ste 450
Wexford, PA 15090

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1184059065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "MEADOW LANDS",
            "state": "PA",
            "postal_code": "153470155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ARABIAN LN",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153010905",
            "telephone_number": "724-263-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZURA",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.