Individual provider Active NPI

James A. Disantis, MSW,LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1659581346
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013422 Issued in PA
Practice address
712 South Ave
Pittsburgh, PA 15221-2940
Phone
(412) 243-3400
Fax
(412) 731-2684
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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 CW013422 PA Primary

Addresses

Primary practice location

712 South Ave
Pittsburgh, PA 15221-2940

Mailing address

712 South Ave
Pittsburgh, PA 15221-2940
Phone (412) 243-3400

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

LicenseStateTypeSpecialty
CW013422PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1659581346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SOUTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212940",
            "telephone_number": "412-243-3400",
            "fax_number": "412-731-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SOUTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212940",
            "telephone_number": "412-243-3400",
            "fax_number": "412-731-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTIS",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013422",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 23, 2012; 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.