Organization Active NPI

Cheryl Massimo LLC

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1346296191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015306 Issued in PA
Legal business name
CHERYL MASSIMO LLC
Practice address
7424 Washington Street
Pittsburgh, PA 15218
Phone
(412) 818-3509
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cheryl Elizabeth Massimo, LCSW
Title
Member Cheryl Massimo LLC
Phone
(412) 818-3509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW015306 PA Primary

Addresses

Primary practice location

7424 Washington Street
Pittsburgh, PA 15218

Mailing address

PO Box 17974
Pittsburgh, PA 15235
Phone (412) 818-3509

Other identifiers 1

IdentifierTypeStateIssuer
0016912450002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346296191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17974",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-818-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 WASHINGTON STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15218",
            "telephone_number": "412-818-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL MASSIMO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSIMO",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER CHERYL MASSIMO LLC",
        "authorized_official_telephone_number": "412-818-3509",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016912450002",
            "state": "PA"
        }
    ],
    "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 Aug 22, 2020; 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.