Individual provider Active NPI

Erica Lynn Givner, LCSW

  • Clinical Social Worker
  • Wilkinsburg, PA
National Provider Identifier
1376796979
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW17187 Issued in PA
Practice address
711 Penn Ave
2ND Floor
Wilkinsburg, PA 15221-2216
Phone
(412) 241-4673
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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 CW17187 PA Primary

Addresses

Primary practice location

711 Penn Ave
2ND Floor
Wilkinsburg, PA 15221-2216

Mailing address

711 Penn Ave FL 2
Wilkinsburg, PA 15221-2216
Phone (412) 241-4673

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
I20110602000259 PA Practitioner - Clinical Social Worker 1254518194 Reassigns benefits to 1 organization
Practice locations: Wilkinsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

619 Wood St
Wilkinsburg, PA 15221-3128
Phone (412) 223-5885

711 Penn Ave
Wilkinsburg, PA 15221-2216
Phone (412) 241-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW17187PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Towards Peace Counseling Services Social Worker CurrentSince Feb 11, 2022 Accepting new patients

Locations

619 Wood St
Wilkinsburg, PA 15221
Phone (412) 223-5885

711 Penn Ave
#2
Wilkinsburg, PA 15221
Phone (412) 241-4673

Interoperability endpoints

  • Direct secure messaging: visiontowardspeace.ericagivner@152028.advancedmd-direct.com

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1376796979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 PENN AVE FL 2",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212216",
            "telephone_number": "412-241-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 PENN AVE",
            "address_2": "2ND FLOOR",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212216",
            "telephone_number": "412-241-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVNER",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "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": "CW17187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkinsburg, PA

Sources for this page

Verify at the official NPI Registry.