Active NPI
Paul A Ganster, LCSW, QCSW
- Clinical Social Worker
- Kittanning, PA
National Provider Identifier
1619940749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013558
- 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, 2014
- Sex
- Male
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000627389 | Other | PA | PENNSYLVANIA BLUE SHIELD |
| 132643000 | Other | PA | MAGELLAN |
| 166987 | Other | PA | VALUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| CW013558 | PA | MD | Clinical 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.