Active NPI
Mauri M Tate, LCSW
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1295369114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW023958
- Practice address
- 6425 Living PL Ste 200
Pittsburgh, PA 15206-5122 - Phone
- (814) 790-8327
- NPI assigned
- Feb 29, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW023958 | PA | Primary |
Addresses
Primary practice location
6425 Living PL Ste 200
Pittsburgh, PA 15206-5122
Mailing address
1047 New Hope Dr
Irwin, PA 15642-3013
Phone (814) 790-8327
Other practice location 1
201 Penn Center Blvd Ste 400
Pittsburgh, PA 15235-5441
Phone (412) 789-6188
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Na |
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 |
|---|---|---|---|
| CW023958 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridging the Gap Services, LLC | Clinical | Current | Accepting new patients |
Locations
201 Penn Center Blvd
Ste 400
Pittsburgh, PA 15235
Phone (412) 228-0679
6425 Living Pl
Ste 200
Pittsburgh, PA 15206
Phone (412) 450-6012
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1295369114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 NEW HOPE DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423013",
"telephone_number": "814-790-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 LIVING PL STE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152065122",
"telephone_number": "814-790-8327"
}
],
"practiceLocations": [
{
"address_1": "201 Penn Center Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152355441",
"country_code": "US",
"telephone_number": "412-789-6188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATE",
"first_name": "MAURI",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-29",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW023958",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Na",
"affiliation": "N",
"address_1": "363 Vanadium Rd Ste 105P",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152431477",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 9, 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.