Active NPI
Destiny Wade
- Social Worker
- Murrysville, PA
National Provider Identifier
1194571786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW142698
- Practice address
- 4115 William Penn Hwy
Murrysville, PA 15668-1887 - Phone
- (724) 733-3491
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | |||
| Social Worker | 104100000X | SW142698 | PA | Primary |
Addresses
Primary practice location
4115 William Penn Hwy
Murrysville, PA 15668-1887
Mailing address
2635 E Carson St Apt 327
Pittsburgh, PA 15203-5114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW142698 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1194571786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 E CARSON ST APT 327",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152035114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681887",
"telephone_number": "724-733-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "DESTINY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW142698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.