Individual provider Active NPI

Kourtney Autumn Wofford, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1205406006
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025060 Issued in PA
Practice address
230 N Craig St
Pittsburgh, PA 15213-1565
Phone
(412) 445-8280
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 CW025060 PA Primary

Addresses

Primary practice location

230 N Craig St
Pittsburgh, PA 15213-1565

Mailing address

230 N Craig St Ste B
Pittsburgh, PA 15213-1569
Phone (412) 445-8280

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
I20250108001862 PA Practitioner - Clinical Social Worker 7315475076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

230 N Craig St
Suite B
Pittsburgh, PA 15213-1569
Phone (412) 621-3777

3800 Sierra Cir
Suite 210
Center Valley, PA 18034-8476
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Mar 24, 2025 Accepting new patients

Locations

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

230 N Craig St
Ste B
Pittsburgh, PA 15213
Phone (412) 621-3777

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1205406006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST STE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131569",
            "telephone_number": "412-445-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131565",
            "telephone_number": "412-445-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFORD",
        "first_name": "KOURTNEY",
        "middle_name": "AUTUMN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.