Embody Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMBODY THERAPY

Practice address

1725 Washington Rd Ste 602
Pittsburgh, PA 15241-1215

Phone

(412) 312-6035

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Costello, LCSWNPI 1659798205

Title

Ownder/LCSW

Phone

(412) 312-6035

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Costello, LCSW, RD

  • Clinical Social Worker
  • Oak Park, IL
  • NPI 1659798205
  NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1487422382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 VALLEYVIEW RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431015",
            "telephone_number": "412-312-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 WASHINGTON RD STE 602",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411215",
            "telephone_number": "412-312-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNDER/LCSW",
        "authorized_official_telephone_number": "412-312-6035",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659798205",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emanuel W Amurgis
• Theodore James Emanuel
• Elise Catherine Emanuele, MS,RD,LDN
• Embark Psychiatry
• Embodied Perspectives LLC
• Embrace Resources LLC
• Embrace the Child, LTD.
• Jessica Esper Embrescia, D.O.
• Emerge Coaching
• Emerge Speech & Language, LLC

• Clinical Social Worker in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.