Individual provider Active NPI

Keirnan Dougherty

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1497474167
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4 Allegheny Ctr # 8
Pittsburgh, PA 15212-5255
Phone
(412) 330-4328
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 PA Primary

Addresses

Primary practice location

4 Allegheny Ctr # 8
Pittsburgh, PA 15212-5255

Mailing address

4825 Centre Ave Apt 25
Pittsburgh, PA 15213-1765
Phone (570) 903-2988

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
I20221129001621 PA Practitioner - Clinical Social Worker 2466820246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Sep 25, 2022 Accepting new patients
Allegheny Clinic CurrentSince Sep 25, 2022 Accepting new patients

Locations

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1497474167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 CENTRE AVE APT 25",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131765",
            "telephone_number": "570-903-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR # 8",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255",
            "telephone_number": "412-330-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "KEIRNAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.