Individual provider Active NPI

Nicole Grabowski

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1669983714
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023201 Issued in PA
Practice address
500 S Aiken Ave Ste 101
Pittsburgh, PA 15232-1505
Phone
(857) 302-0263
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X CW023201 PA Primary

Addresses

Primary practice location

500 S Aiken Ave Ste 101
Pittsburgh, PA 15232-1505

Mailing address

500 S Aiken Ave Ste 101
Pittsburgh, PA 15232-1505
Phone (857) 302-0263

Other practice location 1

100A Haverhill St
Methuen, MA 01844-4251
Phone (978) 682-5276 ext. 250

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW023201PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Pavement, LLC Clinical Current Accepting new patients

Locations

500 S Aiken Ave
Ste 101
Pittsburgh, PA 15232
Phone (412) 621-3131

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1669983714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S AIKEN AVE STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321505",
            "telephone_number": "857-302-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S AIKEN AVE STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321505",
            "telephone_number": "857-302-0263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100A Haverhill St",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018444251",
            "country_code": "US",
            "telephone_number": "978-682-5276 x250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023201",
            "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 Jun 28, 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.

Verify at the official NPI Registry.