Emma Bedford-Jack, LCSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021093 Issued in PA

Practice address

211 N Whitfield St
Pittsburgh, PA 15206-3039

Phone

(412) 283-6767

NPI assigned

Aug 10, 2017

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Emma Bedford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Summit Psychological Services

  • Psychologist
  • Pittsburgh, PA
  • NPI 1447555347

  Social Worker

  NPD (past)
• The Circulatory Center of PA, Inc.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1053319871
  NPD (past)

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1245755289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N WHITFIELD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N WHITFIELD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063039",
            "telephone_number": "412-283-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD-JACK",
        "first_name": "EMMA",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW127559",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT CLINICAL SOCIAL WORKER",
            "identifier": "LICSW127559",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "CW021093",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "BEDFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Becoming You Counseling LLC
• Elexa Lynn Becton, CPS
• Michael Paul Beczak, MBA
• Kelly Beddall, M.A., CCC-SLP
• Alan Nichols Bedell, M.D.
• Christopher Wesley Bedford
• Harsimran Bedi, M.D.
• Stephanie Faye Bedillion, PTA
• Laura Bednar, MOT, OTR/L
• Samantha Bednar, MSW, MPH

• Clinical Social Worker in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.