Individual provider Active NPI

Lawrence J. Collura, M.S.W

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1366492316
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW-000224-L Issued in PA
Practice address
310 Rockfield Rd
Pittsburgh, PA 15243-1408
Phone
(412) 221-8106
Fax
(412) 319-0708
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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 CW-000224-L PA Primary

Addresses

Primary practice location

310 Rockfield Rd
Pittsburgh, PA 15243-1408

Mailing address

310 Rockfield Rd
Pittsburgh, PA 15243-1408
Phone (412) 221-8106

Other identifiers 7

IdentifierTypeStateIssuer
633825OtherPAHIGHMARK
550534000OtherPASELECT BLUE
010986OtherPACHAMPUS; OPTIONS; TRICARE
462181000OtherPAMAGELLAN EAP
4610061OtherPAAETNA
366207OtherPACIGNA EAP
C9998-0OtherPAVRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW-000224-LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1366492316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ROCKFIELD RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431408",
            "telephone_number": "412-221-8106",
            "fax_number": "412-319-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ROCKFIELD RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431408",
            "telephone_number": "412-221-8106",
            "fax_number": "412-319-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLURA",
        "first_name": "LAWRENCE",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "M.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW-000224-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "633825",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT BLUE",
            "identifier": "550534000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS; OPTIONS; TRICARE",
            "identifier": "010986",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN EAP",
            "identifier": "462181000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4610061",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA EAP",
            "identifier": "366207",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VRI",
            "identifier": "C9998-0",
            "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 Feb 23, 2010; 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.