Active NPI
Jonathan Colvson
- Social Worker
- Pittsburgh, PA
National Provider Identifier
1295408904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW138196
- Practice address
- 5896 Ellsworth Ave
Pittsburgh, PA 15232-1738 - Phone
- (412) 444-8340
- NPI assigned
- Jul 28, 2021
- Reactivated
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW138196 | PA | Primary |
Addresses
Primary practice location
5896 Ellsworth Ave
Pittsburgh, PA 15232-1738
Mailing address
225 Trent Rd
Wynnewood, PA 19096-3217
Other practice location 1
101 N Merion Ave
Bryn Mawr, PA 19010-2859
Phone (610) 526-7360
Other practice location 2
225 Trent Rd
Wynnewood, PA 19096-3217
Phone (610) 731-1991
Other practice location 3
201 S 18th St Apt 2207
Philadelphia, PA 19103-5945
Phone (215) 703-7283
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 |
|---|---|---|---|
| SW138196 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People First Therapy Group | Current | Accepting new patients | |
| Bryn Mawr College Health Center | Past | Accepting new patients | |
| Transitional Characters | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Philadelphia, PA
- NPI 1740870518
-
- Student Health Clinic/Center
- Bryn Mawr, PA
- NPI 1629377056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1295408904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 TRENT RD",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5896 ELLSWORTH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321738",
"telephone_number": "412-444-8340"
}
],
"practiceLocations": [
{
"address_1": "101 N Merion Ave",
"address_purpose": "LOCATION",
"city": "Bryn Mawr",
"state": "PA",
"postal_code": "190102859",
"country_code": "US",
"telephone_number": "610-526-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Trent Rd",
"address_purpose": "LOCATION",
"city": "Wynnewood",
"state": "PA",
"postal_code": "190963217",
"country_code": "US",
"telephone_number": "610-731-1991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 18th St Apt 2207",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191035945",
"country_code": "US",
"telephone_number": "215-703-7283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLVSON",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-28",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"deactivation_date": "2021-12-22",
"reactivation_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "PA",
"license": "SW138196",
"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 10, 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.