Individual provider Active NPI

Priscilla Ruth Ortlip, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1477975993
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015736 Issued in PA
Practice address
801 Union Ave
Pittsburgh, PA 15212-5523
Phone
(412) 586-3684
Fax
(412) 586-2119
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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 CW015736 PA Primary

Addresses

Primary practice location

801 Union Ave
Pittsburgh, PA 15212-5523

Mailing address

4020 Grand Ave
Allison Park, PA 15101-3622
Phone (412) 969-7291

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW015736PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1477975993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 GRAND AVE",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013622",
            "telephone_number": "412-969-7291",
            "fax_number": "412-586-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 UNION AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125523",
            "telephone_number": "412-586-3684",
            "fax_number": "412-586-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTLIP",
        "first_name": "PRISCILLA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015736",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.