Individual provider Active NPI

Melissa Shaw, LCSW

  • Clinical Social Worker
  • New Kensington, PA
National Provider Identifier
1194870022
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CWO14690 Issued in PA
Practice address
3 Kensington SQ
Suite B
New Kensington, PA 15068-6443
Phone
(724) 335-9733
Fax
(724) 335-9734
NPI assigned
Jan 23, 2007
Last updated
Oct 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 CWO14690 PA Primary

Addresses

Primary practice location

3 Kensington SQ
Suite B
New Kensington, PA 15068-6443

Mailing address

201 Florida Drive
Lower Burrell, PA 15068-3333
Phone (412) 215-2485

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
I20160714000675 PA Practitioner - Clinical Social Worker 9830481654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Human Services of Pennsylvania, LLCGroup PAC ID 0941610091, 20 clinicians

Practice addresses (Care Compare)

1600 Wildlife Lodge Rd
Suite 1
New Kensington, PA 15068-3652
Phone (724) 335-9733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CWO14690PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Human Services of Pennsylvania, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

4731 Route 30
Ste 404
Greensburg, PA 15601
Phone (724) 335-9733

1600 Wildlife Lodge Rd
Ste 1
New Kensington, PA 15068
Phone (243) 359-7337

3 Kensington Sq
#B
New Kensington, PA 15068
Phone (724) 335-9733

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1194870022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FLORIDA DRIVE",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683333",
            "telephone_number": "412-215-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 KENSINGTON SQ",
            "address_2": "SUITE B",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686443",
            "telephone_number": "724-335-9733",
            "fax_number": "724-335-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO14690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.