Individual provider Active NPI

Vanessa Royse, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1669961546
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019642 Issued in PA
Practice address
615 Washington Rd
Ste 507
Pittsburgh, PA 15228-1929
Phone
(412) 564-3912
NPI assigned
May 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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 CW019642 PA Primary

Addresses

Primary practice location

615 Washington Rd
Ste 507
Pittsburgh, PA 15228-1929

Mailing address

1523 Dormont Ave Apt 1
Pittsburgh, PA 15216-1803
Phone (412) 564-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115001951 PA Practitioner - Clinical Social Worker 0547514234 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

615 Washington Rd
Suite 507
Pittsburgh, PA 15228-1929
Phone (412) 564-3912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019642PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1525564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1669961546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 DORMONT AVE APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161803",
            "telephone_number": "412-564-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON RD",
            "address_2": "STE 507",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281929",
            "telephone_number": "412-564-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSE",
        "first_name": "VANESSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-06",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.