Individual provider Active NPI

Mauri M Tate, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1295369114
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023958 Issued in PA
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

Updated by the provider on Jul 9, 2024

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
CW023958PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging the Gap Services, LLC Clinical CurrentSince Nov 5, 2023 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.

Verify at the official NPI Registry.