Active NPI
Ingrid Fulton-Edwards, LCSW
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1629372644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015317
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018523620001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Monroeville, PA
- NPI 1154532232
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.