Individual provider Active NPI

June Marie Ganley, L.C.S.W.

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1417954363
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013176 Issued in PA
Practice address
160 Southern Ave
Pittsburgh, PA 15211-1910
Phone
(412) 431-0711
Fax
(412) 431-0732
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 CW013176 PA Primary

Addresses

Primary practice location

160 Southern Ave
Pittsburgh, PA 15211-1910

Mailing address

160 Southern Ave
Pittsburgh, PA 15211-1910
Phone (412) 431-0711

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
I20110722000450 PA Practitioner - Clinical Social Worker 6709054448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collaborative Psychiatric ServicesGroup PAC ID 9830434885, 3 clinicians

Practice addresses (Care Compare)

4900 Perry Hwy
Suite 1
Pittsburgh, PA 15229-2220
Phone (412) 307-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psychiatric Services CurrentSince Jan 1, 2019 Accepting new patients

Locations

4900 Perry Hwy
Ste 1
Pittsburgh, PA 15229
Phone (412) 307-5600

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1417954363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SOUTHERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111910",
            "telephone_number": "412-431-0711",
            "fax_number": "412-431-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SOUTHERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111910",
            "telephone_number": "412-431-0711",
            "fax_number": "412-431-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLEY",
        "first_name": "JUNE",
        "middle_name": "MARIE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.