Individual provider Active NPI

Chase D O'Palka, LSW

  • Social Worker
  • Wexford, PA
National Provider Identifier
1548864432
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW137678 Issued in PA
Practice address
105 Bradford Rd Ste 100
Wexford, PA 15090-6920
Phone
(724) 776-4844
Fax
(724) 776-0860
NPI assigned
Nov 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW137678 PA Primary

Addresses

Primary practice location

105 Bradford Rd Ste 100
Wexford, PA 15090-6920

Mailing address

311 Rouser Rd
Moon Township, PA 15108-6801
Phone (412) 604-8900

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

LicenseStateTypeSpecialty
SW137678PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1548864432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUSER RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151086801",
            "telephone_number": "412-604-8900",
            "fax_number": "412-299-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRADFORD RD STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906920",
            "telephone_number": "724-776-4844",
            "fax_number": "724-776-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'PALKA",
        "first_name": "CHASE",
        "middle_name": "D",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW137678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.