Individual provider Active NPI

Amethyst Clare Celuch, LCSW

  • Clinical Social Worker
  • White Oak, PA
National Provider Identifier
1346810215
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024602 Issued in PA
Practice address
3001 Jacks Run Rd Ste 201-203
White Oak, PA 15131-2538
Phone
(724) 600-5541
Fax
(412) 872-5456
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X CW024602 PA Primary

Addresses

Primary practice location

3001 Jacks Run Rd Ste 201-203
White Oak, PA 15131-2538

Mailing address

3001 Jacks Run Rd Ste 201-203
White Oak, PA 15131-2538
Phone (724) 600-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Resources, Inc. PastSince Jul 27, 2020 Accepting new patients

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1346810215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 JACKS RUN RD STE 201-203",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312538",
            "telephone_number": "724-600-5541",
            "fax_number": "412-872-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JACKS RUN RD STE 201-203",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312538",
            "telephone_number": "724-600-5541",
            "fax_number": "412-872-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELUCH",
        "first_name": "AMETHYST",
        "middle_name": "CLARE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

Verify at the official NPI Registry.