Ronna P Back, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW003576L Issued in PA

Practice address

414 Allegheny River Blvd
Village Square, Suite 204
Oakmont, PA 15139-1735

Phone

(412) 682-6046

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1356354740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 FOX CHAPEL RD APT 415",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382337",
            "telephone_number": "412-682-6046",
            "fax_number": "412-731-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ALLEGHENY RIVER BLVD",
            "address_2": "VILLAGE SQUARE, SUITE 204",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391735",
            "telephone_number": "412-682-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "RONNA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW003576L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allegheny Medical Practice Network (Wilfong and Steiner)
• Kelly Ammon, DPT
• Stephanie Archer
• Virginia C Armocida, COTA/L
• B James PC (Blvd Eyes)
• Alyssa Marie Baggott, LPN
• Staci M. Balog, R.PH.
• Rebecca Jane Baum
• Mary L Beach, DPT, MS, OCS
• Sean Patrick Bell, DMD

• Clinical Social Worker in Oakmont, PA
• Providers in Oakmont, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.