Individual provider Active NPI

Stephanie Magda Pasquarelli, MSW, LCSW

  • Clinical Social Worker
  • Pleasant Hills, PA
National Provider Identifier
1346490745
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016093 Issued in PA
Practice address
206 Clairton Blvd
Pleasant Hills, PA 15236-3804
Phone
(412) 650-9228
NPI assigned
Sep 23, 2008
Last updated
Dec 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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 CW016093 PA Primary

Addresses

Primary practice location

206 Clairton Blvd
Pleasant Hills, PA 15236-3804

Mailing address

2440 Johnston Rd
Monroeville, PA 15146-4608
Phone (412) 607-8388

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
I20110216000911 PA Practitioner - Clinical Social Worker 6204017734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016093PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Persoma P.C. CurrentSince Apr 15, 2014 Accepting new patients

Locations

2540 Monroeville Blvd
Monroeville, PA 15146
Phone (412) 206-1411

300 Oxford Dr
Ste 110
Monroeville, PA 15146
Phone 4128235155801

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1346490745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 JOHNSTON RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464608",
            "telephone_number": "412-607-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CLAIRTON BLVD",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152363804",
            "telephone_number": "412-650-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUARELLI",
        "first_name": "STEPHANIE",
        "middle_name": "MAGDA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hills, PA

Sources for this page

Verify at the official NPI Registry.