Active NPI
Nicole Elizabeth Gallagher, LISW-S
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1265839930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1700190
- Practice address
- 4100 Allequippa Street
Suicide Prevention- 122G-BH
Pittsburgh, PA 15240 - Phone
- (724) 601-7257
- NPI assigned
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801097127 | MI | |
| Clinical Social Worker | 1041C0700X | I1700190 | OH | Primary |
Addresses
Primary practice location
4100 Allequippa Street
Suicide Prevention- 122G-BH
Pittsburgh, PA 15240
Mailing address
4100 Allequippa Street
Suicide Prevention- 122G-BH
Pittsburgh, PA 15240
Phone (724) 601-7257
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801097127 | MI | MD | Social Worker |
| I1700190 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1265839930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 ALLEQUIPPA STREET",
"address_2": "SUICIDE PREVENTION- 122G-BH",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15240",
"telephone_number": "724-601-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 ALLEQUIPPA STREET",
"address_2": "SUICIDE PREVENTION- 122G-BH",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15240",
"telephone_number": "724-601-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "NICOLE",
"middle_name": "ELIZABETH",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2022-07-19",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801097127",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1700190",
"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 Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.