Individual provider Active NPI

Paul A Ganster, LCSW, QCSW

  • Clinical Social Worker
  • Kittanning, PA
National Provider Identifier
1619940749
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013558 Issued in PA
Practice address
200 Medical Arts BLDG
Suite 240
Kittanning, PA 16201-7132
Phone
(724) 543-1043
Fax
(724) 545-1857
NPI assigned
Feb 9, 2006
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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 CW013558 PA Primary

Addresses

Primary practice location

200 Medical Arts BLDG
Suite 240
Kittanning, PA 16201-7132

Mailing address

113 Lincoln Dr
Sarver, PA 16055-9269
Phone (724) 543-1043

Other identifiers 3

IdentifierTypeStateIssuer
000627389OtherPAPENNSYLVANIA BLUE SHIELD
132643000OtherPAMAGELLAN
166987OtherPAVALUE OPTIONS

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

State licenses

LicenseStateTypeSpecialty
CW013558PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1619940749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LINCOLN DR",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559269",
            "telephone_number": "724-543-1043",
            "fax_number": "724-545-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL ARTS BLDG",
            "address_2": "SUITE 240",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017132",
            "telephone_number": "724-543-1043",
            "fax_number": "724-545-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSTER",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "LCSW, QCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "000627389",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "132643000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "166987",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.