Amanda Lynne D'Ulisse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020370 Issued in PA

Practice address

603 McKnight Park Drive
Pittsburgh, PA 15237

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Amanda Calko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1558942847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 RICHARD DRIVE",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "15116",
            "telephone_number": "330-261-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MCKNIGHT PARK DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ULISSE",
        "first_name": "AMANDA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "106807",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002370",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CALKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Lynn D'Eramo, PA-C
• Sierra Blaise D'Ettorre
• Cailyn D'Haem, DO
• Amber Marie D'Souza, M.D.
• Rachael D'Souza
• Luciana Da Fonseca Da Silva
• Lucas Da Gama Lobo
• Jose Pedro Da Silva
• Yong Sing Da Silva, M.D.
• Venkata Ramana Dabbara, MD

• Clinical Social Worker in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.