Organization Active NPI

Ingrid Fulton-Edwards, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1629372644
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015317 Issued in PA
Legal business name
INGRID FULTON-EDWARDS, LCSW
Practice address
733 N Highland Ave
Pittsburgh, PA 15206-2573
Phone
(412) 398-3578
Fax
(412) 373-3276
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Ingrid Fulton-Edwards, LCSW
Title
Owner/Clinician
Phone
(412) 398-3578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW015317 PA Primary

Addresses

Primary practice location

733 N Highland Ave
Pittsburgh, PA 15206-2573

Mailing address

522 Firethorn Dr
Monroeville, PA 15146-1617
Phone (412) 398-3578

Other identifiers 1

IdentifierTypeStateIssuer
1018523620001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1629372644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 FIRETHORN DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461617",
            "telephone_number": "412-398-3578",
            "fax_number": "412-373-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N HIGHLAND AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152062573",
            "telephone_number": "412-398-3578",
            "fax_number": "412-373-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID FULTON-EDWARDS, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "FULTON-EDWARDS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "412-398-3578",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018523620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.