Individual provider Active NPI

Suzanna Rae Styles, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1396308623
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020444 Issued in PA
Practice address
1100 S Braddock Ave Ste 3
Pittsburgh, PA 15218-1238
Phone
(412) 540-5022
NPI assigned
Apr 22, 2019
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 CW020444 PA Primary

Addresses

Primary practice location

1100 S Braddock Ave Ste 3
Pittsburgh, PA 15218-1238

Mailing address

1100 S Braddock Ave Ste 3
Pittsburgh, PA 15218-1238
Phone (412) 540-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 13, 2021 through Apr 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW020444PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Organization of Women in Early Recovery Past 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, 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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1396308623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S BRADDOCK AVE STE 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181238",
            "telephone_number": "412-540-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S BRADDOCK AVE STE 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181238",
            "telephone_number": "412-540-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYLES",
        "first_name": "SUZANNA",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.