Individual provider Active NPI

Donna Marie Goberish, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1336168962
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012459 Issued in PA
Practice address
1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131
Phone
(412) 967-5660
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

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 CW012459 PA Primary

Addresses

Primary practice location

1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131

Mailing address

1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131
Phone (412) 967-5660

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
I20110125000602 PA Practitioner - Clinical Social Worker 5698954527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny Mental Health Associates PCGroup PAC ID 1658338058, 5 clinicians

Practice addresses (Care Compare)

1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3121
Phone (412) 967-0610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012459PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Mental Health Associates PC CurrentSince Oct 2, 2010 Accepting new patients

Locations

230 N Craig St
Ste C
Pittsburgh, PA 15213
Phone (412) 427-2943

1326 Freeport Rd
Ste 250
Pittsburgh, PA 15238
Phone (412) 967-5656

700 Blaw Ave
Ste 201
Pittsburgh, PA 15238
Phone (412) 820-2400

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336168962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 FREEPORT RD",
            "address_2": "SUITE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383131",
            "telephone_number": "412-967-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 FREEPORT RD",
            "address_2": "SUITE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383131",
            "telephone_number": "412-967-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBERISH",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.