Individual provider Active NPI

Gary E Pipak, LCSW

  • Clinical Social Worker
  • Greensburg, PA
National Provider Identifier
1295885200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012827 Issued in PA
Practice address
337 Harvey Ave
Five Points Professional Building
Greensburg, PA 15601-1994
Phone
(724) 832-1900
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW012827 PA Primary

Addresses

Primary practice location

337 Harvey Ave
Five Points Professional Building
Greensburg, PA 15601-1994

Mailing address

280 Abbe PL
Delmont, PA 15626-1320
Phone (724) 468-8497

Other identifiers 3

IdentifierTypeStateIssuer
PI 804332OtherPABLUE SHIELD PROVIDER #
07332924MedicaidPA
535901OtherPAVALUEOPTIONS PROVIDER #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012827PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295885200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ABBE PL",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261320",
            "telephone_number": "724-468-8497",
            "fax_number": "724-468-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 HARVEY AVE",
            "address_2": "FIVE POINTS PROFESSIONAL BUILDING",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011994",
            "telephone_number": "724-832-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPAK",
        "first_name": "GARY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "PI 804332",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07332924",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS PROVIDER #",
            "identifier": "535901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.