Active NPI
Melissa J. Wade, LCSW
- Clinical Social Worker
- Irwin, PA
National Provider Identifier
1619316965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015288
- Practice address
- 1051 Aerie Dr
Irwin, PA 15642-3018 - Phone
- (412) 913-1910
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW015288 | PA | Primary |
Addresses
Primary practice location
1051 Aerie Dr
Irwin, PA 15642-3018
Mailing address
1051 Aerie Dr
Irwin, PA 15642-3018
Phone (412) 913-1910
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1619316965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 AERIE DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423018",
"telephone_number": "412-913-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 AERIE DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423018",
"telephone_number": "412-913-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "MELISSA",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.