Individual provider Active NPI

Giselle Torres Fernandes, LSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1396990099
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016912 Issued in PA
Practice address
810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505
Phone
(412) 650-1100
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW126652 PA
Clinical Social Worker 1041C0700X CW016912 PA Primary

Addresses

Primary practice location

810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505

Mailing address

810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505
Phone (412) 650-1100

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
I20210125000145 PA Practitioner - Clinical Social Worker 1052725538 Reassigns benefits to 2 organizations
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW126652PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince May 31, 2023 Accepting new patients
Allegheny Clinic Clinical CurrentSince May 31, 2023 Accepting new patients
Jefferson Regional Medical Center CurrentSince Jan 24, 2021 Accepting new patients
Jefferson Regional Medical Center CurrentSince Nov 9, 2020 Accepting new patients
Jefferson Regional Medical Center Clinical CurrentSince Nov 9, 2020 Accepting new patients

Locations

565 N Lewis Run Rd
Jefferson Hills, PA 15025
Phone (412) 469-3200

810 Clairton Blvd
Ste 500
Pittsburgh, PA 15236
Phone (412) 592-1470

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

810 Clairton Blvd
Ste 500600
Pittsburgh, PA 15236
Phone (412) 650-1100

4653 Clairton Blvd
Pittsburgh, PA 15236
Phone (412) 885-7500

810 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 466-5004

500 Blazier Dr
Ste 400
Wexford, PA 15090
Phone (724) 934-2420

Organizations & group practices 6

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1396990099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 500600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-650-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 500600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-650-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "GISELLE",
        "middle_name": "TORRES",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW126652",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.