Active NPI
Josephine A Bassilios, LSW
- Social Worker
- Pittsburgh, PA
National Provider Identifier
1457413676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW012328L
- Practice address
- 6324 Marchand St
Pittsburgh, PA 15206-4312 - Phone
- (412) 661-1239
- Fax
- (412) 661-1304
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW012328L | PA | Primary |
Addresses
Primary practice location
6324 Marchand St
Pittsburgh, PA 15206-4312
Mailing address
102 Hayeswold Dr
Coraopolis, PA 15108-3162
Phone (412) 262-5173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005525880001 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW012328L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457413676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HAYESWOLD DR",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151083162",
"telephone_number": "412-262-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 MARCHAND ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064312",
"telephone_number": "412-661-1239",
"fax_number": "412-661-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSILIOS",
"first_name": "JOSEPHINE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW012328L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005525880001",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.