Individual provider Active NPI

Sarah R Wells, L.C.S.W.

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1295733400
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013109 Issued in PA
Practice address
1824 Murray Ave Ste 204
Pittsburgh, PA 15217-1655
Phone
(412) 901-8007
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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 CW013109 PA Primary

Addresses

Primary practice location

1824 Murray Ave Ste 204
Pittsburgh, PA 15217-1655

Mailing address

160 Southern Ave
Pittsburgh, PA 15211-1910
Phone (412) 431-0711

Other identifiers 1

IdentifierTypeStateIssuer
1010357740001MedicaidPA

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
I20050711000283 PA Practitioner - Clinical Social Worker 4284660481 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Wells LCSW and Associates Clinical CurrentSince Jan 1, 2017 Accepting new patients
Milestone Centers Inc. PastSince Dec 17, 1990 Accepting new patients
Diana Lynn Gummo CRNP LLC PastSince Jul 10, 2017 Accepting new patients

Locations

1824 Murray Ave
Ste 204
Pittsburgh, PA 15217
Phone (412) 897-0276

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1295733400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SOUTHERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111910",
            "telephone_number": "412-431-0711",
            "fax_number": "412-431-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURRAY AVE STE 204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171655",
            "telephone_number": "412-901-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SARAH",
        "middle_name": "R",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010357740001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.