Individual provider Active NPI

Jessica Lee Calhoon

  • Clinical Social Worker
  • Cranberry Township, PA
National Provider Identifier
1558913541
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020454 Issued in PA
Practice address
2009 Mackenzie Way
Cranberry Township, PA 16066-5338
Phone
(717) 602-3784
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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 CW020454 PA Primary

Addresses

Primary practice location

2009 Mackenzie Way
Cranberry Township, PA 16066-5338

Mailing address

329 Hancock St
Pittsburgh, PA 15219-3743
Phone (717) 602-3784

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
CW020454PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Minds LLC Clinical Current Accepting new patients
Mental Fitness, LLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1558913541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 HANCOCK ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152193743",
            "telephone_number": "717-602-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MACKENZIE WAY",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665338",
            "telephone_number": "717-602-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOON",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.