Individual provider Active NPI

Ann Catherine Wilder, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1487673844
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020952 Issued in PA
Practice address
Upmc Pain Medicine
Upmc St. Margaret's Hospital
Pittsburgh, PA 15215
Phone
(412) 784-5119
Fax
(412) 784-5228
NPI assigned
Jul 18, 2006
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 36157 TX
Clinical Social Worker 1041C0700X CW020952 PA Primary

Addresses

Primary practice location

Upmc Pain Medicine
Upmc St. Margaret's Hospital
Pittsburgh, PA 15215

Mailing address

1530 Vance Ave
Coraopolis, PA 15108-2130
Phone (325) 271-8707

Other practice location 1

300 Halket St
Pittsburgh, PA 15213-3108
Phone (412) 641-1600

Other identifiers 3

IdentifierTypeStateIssuer
163974202MedicaidTX
86477QOtherTXBLUE CROSS BLUE SHEILD
P00144488OtherTXRAIL ROAD

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Pittsburgh
Other URL Pittsburgh
Direct Messaging Address UPMChospitals@upmcdirect.com

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
I20200731000051 PA Practitioner - Clinical Social Worker 1658274972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Advanced Practice ProvidersGroup PAC ID 4082836283, 22 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 864-0594

200 Lothrop Street Forbes Tower
Suite 10055 B
Pittsburgh, PA 15213-2536

22681 Route 68
Clarion, PA 16214-4019
Phone (814) 227-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020952PAMDClinical Social Worker
36157TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Advanced Practice Providers Current Accepting new patients
Upmc Advanced Practice Providers Clinical CurrentSince Jul 6, 2020 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients
Sandra White Past Accepting new patients
Cohealth Psychology Services, P.a. Past Accepting new patients
Marvin Behavioral Health Ma PC Clinical Past Accepting new patients

Locations

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

Interoperability endpoints

  • Direct secure messaging: ann.c.wilder@upmcdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1487673844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 VANCE AVE",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082130",
            "telephone_number": "325-271-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPMC PAIN MEDICINE",
            "address_2": "UPMC ST. MARGARET'S HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15215",
            "telephone_number": "412-784-5119",
            "fax_number": "412-784-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Halket St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133108",
            "country_code": "US",
            "telephone_number": "412-641-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "ANN",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36157",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163974202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "86477Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00144488",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pittsburgh",
            "affiliation": "N",
            "address_1": "1501 Potomac Ave # 200",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152162135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pittsburgh",
            "affiliation": "N",
            "address_1": "300 Halket St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152133108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.