Individual provider Active NPI

Brooke Alison Hertzler, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1649559121
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016094 Issued in PA
Practice address
5800 Corporate Dr Ste 312
Pittsburgh, PA 15237-7098
Phone
(412) 748-1707
NPI assigned
Aug 15, 2011
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 CW016094 PA Primary

Addresses

Primary practice location

5800 Corporate Dr Ste 312
Pittsburgh, PA 15237-7098

Mailing address

5800 Corporate Dr Ste 312
Pittsburgh, PA 15237-7098
Phone (717) 580-4797

Other practice location 1

7000 Stonewood Dr Ste 300
Wexford, PA 15090-8326
Phone (724) 610-9059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 Hidden Valley Rd
MC Murray, PA 15317-6405

117 Vip Dr
Suite 310
Wexford, PA 15090-6932

430 Ascent Dr
Apt 1104
Wexford, PA 15090-6854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016094PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Mental Health LLC Clinical CurrentSince Jul 7, 2024 Accepting new patients
Penn Psychiatric Center Inc Past Accepting new patients

Locations

5800 Corporate Dr
Ste 312
Pittsburgh, PA 15237
Phone (412) 748-1707

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1649559121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 CORPORATE DR STE 312",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377098",
            "telephone_number": "717-580-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 CORPORATE DR STE 312",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377098",
            "telephone_number": "412-748-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Stonewood Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150908326",
            "country_code": "US",
            "telephone_number": "724-610-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTZLER",
        "first_name": "BROOKE",
        "middle_name": "ALISON",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.