Active NPI
Act II Wellness LLC
- Clinical Social Worker
- Tarentum, PA
National Provider Identifier
1659106508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ACT II WELLNESS LLC
- Practice address
- 913 Lock St
Tarentum, PA 15084-1041 - Phone
- (412) 782-0252
- NPI assigned
- Sep 2, 2024
- 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
- Shannon Wofford, LCSW
- Title
- Clinical Social Worker
- Phone
- (412) 728-0252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
913 Lock St
Tarentum, PA 15084-1041
Mailing address
134 Millerstown Culmerville Rd
Tarentum, PA 15084-2504
Phone (412) 728-0252
National Provider Directory
National Provider Directory- Tax ID family
- Act II Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Tarentum, PA
- NPI 1477426484
Practitioners & 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
- Tarentum, PA
- NPI 1811646029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1659106508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 MILLERSTOWN CULMERVILLE RD",
"city": "TARENTUM",
"state": "PA",
"postal_code": "150842504",
"telephone_number": "412-728-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 LOCK ST",
"city": "TARENTUM",
"state": "PA",
"postal_code": "150841041",
"telephone_number": "412-782-0252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACT II WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A",
"authorized_official_last_name": "WOFFORD",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "412-728-0252",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarentum, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.