Robert Bumbaco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018023 Issued in PA

Practice address

10475 Perry Hwy Ste 300
Wexford, PA 15090-9213

Phone

(724) 759-7500

Fax

(724) 759-7600

NPI assigned

May 17, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jody Bechtold LCSW LLCGroup PAC ID 3274898598, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jody Bechtold, LCSW, LLC

  • Clinical Social Worker
  • Pittsburgh, PA
  • NPI 1558596817
  Medicare reassignment Care Compare group NPD
• Carole L. Kunkle-Miller, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
  • NPI 1649386228
  Medicare reassignment
• North Hills Psychological Associates, Inc.

  • Psychologist
  • Wexford, PA
  • NPI 1265606826
  NPD (past)

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1184917593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 PERRY HWY STE 300",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909213",
            "telephone_number": "724-759-7500",
            "fax_number": "724-759-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 PERRY HWY STE 300",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909213",
            "telephone_number": "724-759-7500",
            "fax_number": "724-759-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBACO",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008032021",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Bryant
• Amanda Buchheit, LPC
• Toni Buchkovich, OTR/L
• Zakary Buerkle
• Jill Buffone, RPH
• Melanie Bunovich, RN
• Marianne Louise Burda, M.D., PH.D.
• Aaron D Burger
• Lauren Burling, LMSW
• Thomas Joseph Burnett, M.D.

• Clinical Social Worker in Wexford, PA
• Providers in Wexford, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.