Individual provider Active NPI

Michaela Lynch Carlson, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1295270890
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019294 Issued in PA
Practice address
6435 Howe St
Pittsburgh, PA 15206-4405
Phone
(412) 360-6641
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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 CW019294 PA Primary

Addresses

Primary practice location

6435 Howe St
Pittsburgh, PA 15206-4405

Mailing address

6435 Howe St
Pittsburgh, PA 15206-4405
Phone (412) 360-6641

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
I20220419001721 PA Practitioner - Clinical Social Worker 2961899042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Center for Holistic Therapy CurrentSince Mar 22, 2022 Accepting new patients

Locations

1407 Mount Royal Blvd
Glenshaw, PA 15116
Phone (412) 455-6890

68 Wabash St
Ste 100
Pittsburgh, PA 15220
Phone (412) 455-6890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1295270890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 HOWE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064405",
            "telephone_number": "412-360-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 HOWE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064405",
            "telephone_number": "412-360-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MICHAELA",
        "middle_name": "LYNCH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.