Individual provider Active NPI

Carolyn Lora Kaminski, LSW

  • Clinical Social Worker
  • Kittanning, PA
National Provider Identifier
1194272864
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020984 Issued in PA
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

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629000026 PA Practitioner - Clinical Social Worker 3274934260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW133490PAMDSocial Worker
CW020984PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Pastoral Institute Clinical CurrentSince Jun 21, 2021 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

Verify at the official NPI Registry.