Individual provider Active NPI

Amanda Marie Reszkowski, LCSW, NCGC

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1265680318
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017264 Issued in PA
Practice address
20 Cedar Blvd
Suite 204
Pittsburgh, PA 15228-1330
Phone
(814) 602-3607
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2012

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 CW017264 PA Primary

Addresses

Primary practice location

20 Cedar Blvd
Suite 204
Pittsburgh, PA 15228-1330

Mailing address

20 Cedar Blvd
Suite 204
Pittsburgh, PA 15228-1330
Phone (814) 602-3607

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

LicenseStateTypeSpecialty
CW017264PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1265680318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR BLVD",
            "address_2": "SUITE 204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281330",
            "telephone_number": "814-602-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR BLVD",
            "address_2": "SUITE 204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281330",
            "telephone_number": "814-602-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESZKOWSKI",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LCSW, NCGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.