Individual provider Active NPI

Maria Elizabeth Luczkow, MSW, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1215008446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012009 Issued in PA
Practice address
10 Duff Rd
Suite 301
Pittsburgh, PA 15235-3260
Phone
(412) 731-9707
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW012009 PA Primary

Addresses

Primary practice location

10 Duff Rd
Suite 301
Pittsburgh, PA 15235-3260

Mailing address

3221 Mayer Dr
Murrysville, PA 15668-1617
Phone (724) 327-3352

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
I20130401000189 PA Practitioner - Clinical Social Worker 3375788086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Milestone Centers Inc.Group PAC ID 7012991110, 8 clinicians

Practice addresses (Care Compare)

712 S Ave
Pittsburgh, PA 15221-2940
Phone (412) 243-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Centers Inc. CurrentSince Jan 1, 2013 Accepting new patients
Milestone Incorporated Past Accepting new patients

Locations

777 Penn Center Blvd
Ste 200
Pittsburgh, PA 15235
Phone (412) 243-3400

10 Duff Rd
Ste 301
Pittsburgh, PA 15235
Phone (412) 977-0741

712 South Ave
Wilkinsburg, PA 15221
Phone (412) 243-3400

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

Organizations & group practices 2

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215008446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 MAYER DR",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681617",
            "telephone_number": "724-327-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DUFF RD",
            "address_2": "SUITE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353260",
            "telephone_number": "412-731-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZKOW",
        "first_name": "MARIA",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.