Individual provider Active NPI

Kevin Caridad, LSW

  • Clinical Social Worker
  • Cranberry TWP, PA
National Provider Identifier
1518158377
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017308 Issued in PA
Practice address
125 Emeryville Dr Ste 230
Cranberry TWP, PA 16066-5020
Phone
(724) 609-5002
Fax
(724) 299-8964
NPI assigned
Aug 7, 2007
Last updated
Nov 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW126251 PA
Clinical Social Worker 1041C0700X CW017308 PA Primary

Addresses

Primary practice location

125 Emeryville Dr Ste 230
Cranberry TWP, PA 16066-5020

Mailing address

125 Emeryville Dr Ste 230
Cranberry TWP, PA 16066-5020
Phone (724) 609-5002

Other practice location 1

30 Warrendale Bayne Rd
Suite 107
Warrendale, PA 15086-7558
Phone (724) 831-8795

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
I20150227001351 PA Practitioner - Clinical Social Worker 4082930508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognitive Behavior Institute, LLCGroup PAC ID 7810213337, 30 clinicians

Practice addresses (Care Compare)

125 Emeryville Dr
230 Cognitive Behavior Institute
Cranberry TWP, PA 16066-5013
Phone (724) 609-5002

1301 Riverside Dr
Beaver, PA 15009-3150
Phone (724) 609-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW126251PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Institute, LLC Clinical CurrentSince Jan 3, 2015 Accepting new patients
Northland Hearing Centers, Inc. Past Accepting new patients

Locations

125 Emeryville Dr
Ste 230
Cranberry Twp, PA 16066
Phone (724) 609-5002

5 Saint Francis Way
Cranberry Twp, PA 16066
Phone (724) 772-5350

201 Penn Center Blvd
Ste 520
Pittsburgh, PA 15235
Phone (412) 823-8251

Organizations & group practices 2

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1518158377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR STE 230",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665020",
            "telephone_number": "724-609-5002",
            "fax_number": "724-299-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR STE 230",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665020",
            "telephone_number": "724-609-5002",
            "fax_number": "724-299-8964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Warrendale Bayne Rd",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Warrendale",
            "state": "PA",
            "postal_code": "150867558",
            "country_code": "US",
            "telephone_number": "724-831-8795",
            "fax_number": "724-553-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARIDAD",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126251",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

Verify at the official NPI Registry.