Active NPI
Kelsey Lyn Counihan, LCSW
- Clinical Social Worker
- Canonsburg, PA
National Provider Identifier
1487229092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW021849
- Practice address
- 2000 Waterdam Plaza Dr Ste 240
Canonsburg, PA 15317-5411 - Phone
- (724) 908-0531
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW021849 | PA | Primary |
Addresses
Primary practice location
2000 Waterdam Plaza Dr Ste 240
Canonsburg, PA 15317-5411
Mailing address
2000 Waterdam Plaza Dr Ste 240
Canonsburg, PA 15317-5411
Phone (724) 908-0531
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW021849 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1487229092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 WATERDAM PLAZA DR STE 240",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153175411",
"telephone_number": "724-908-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WATERDAM PLAZA DR STE 240",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153175411",
"telephone_number": "724-908-0531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNIHAN",
"first_name": "KELSEY",
"middle_name": "LYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW021849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.