Individual provider Active NPI

Kaitlyn Bernadino, LSW

  • Professional Counselor
  • Wexford, PA
National Provider Identifier
1679127765
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CW022566 Issued in PA
Practice address
500 Blazier Dr Ste 400
Wexford, PA 15090-9508
Phone
(724) 934-2420
NPI assigned
Jul 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X CW022566 PA Primary

Addresses

Primary practice location

500 Blazier Dr Ste 400
Wexford, PA 15090-9508

Mailing address

500 Blazier Dr Ste 400
Wexford, PA 15090-9508
Phone (724) 934-2420

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
I20230601000043 PA Practitioner - Clinical Social Worker 8628435922 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince May 1, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Professional CurrentSince May 1, 2023 Accepting new patients

Locations

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

500 Blazier Dr
Ste 400
Wexford, PA 15090
Phone (724) 934-2420

Organizations & group practices 3

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": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1679127765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 400",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "724-934-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 400",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "724-934-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNADINO",
        "first_name": "KAITLYN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "CW022566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.