Individual provider Active NPI

Deborah Ann Reilly

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1326787235
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW122728 Issued in PA
Practice address
1350 Freeport Rd
Ste 1a
Pittsburgh, PA 15238
Phone
(412) 406-7734
Fax
(412) 406-7742
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW122728 PA Primary

Addresses

Primary practice location

1350 Freeport Rd
Ste 1a
Pittsburgh, PA 15238

Mailing address

588 Franklin Blvd
Freedom, PA 15042-2862
Phone (412) 225-9365

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
SW122728PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Services Social Worker CurrentSince Jun 5, 2022 Accepting new patients
The Circulatory Center of PA, Inc. Multi-Specialty PastSince Jun 5, 2022 Accepting new patients

Locations

1350 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 406-7734

Organizations & group practices 2

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1326787235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 FRANKLIN BLVD",
            "city": "FREEDOM",
            "state": "PA",
            "postal_code": "150422862",
            "telephone_number": "412-225-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 FREEPORT RD",
            "address_2": "STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15238",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW122728",
            "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 May 31, 2022; 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.