Active NPI
Carolyn Lora Kaminski, LSW
- Clinical Social Worker
- Kittanning, PA
National Provider Identifier
1194272864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020984
- Practice address
- 11 Hilltop PLZ
Kittanning, PA 16201-8905 - Phone
- (724) 545-7426
- NPI assigned
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW020984 | PA | Primary |
| Social Worker | 104100000X | SW133490 | PA |
Addresses
Primary practice location
11 Hilltop PLZ
Kittanning, PA 16201-8905
Mailing address
6324 Marchand St
Pittsburgh, PA 15206-4312
Phone (412) 427-6746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629000026 | PA | Practitioner - Clinical Social Worker | 3274934260 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW133490 | PA | MD | Social Worker |
| CW020984 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburgh Pastoral Institute | Clinical | Current | Accepting new patients |
Locations
1025 Liverpool St
Pittsburgh, PA 15233
Phone 4126611239 ext. 226
6324 Marchand St
Pittsburgh, PA 15206
616 N Highland Ave
Pittsburgh, PA 15206
Phone (412) 441-3304
Organizations & group practices 1
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": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1194272864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6324 MARCHAND ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064312",
"telephone_number": "412-427-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 HILLTOP PLZ",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162018905",
"telephone_number": "724-545-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "CAROLYN",
"middle_name": "LORA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020984",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133490",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kittanning, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.