Constance Poluszejko Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014584 Issued in PA

Practice address

712 South Ave
Pittsburgh, PA 15221-2940

Phone

(412) 731-9707

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

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.

• Milestone Centers Inc.

  • Community/Behavioral Health Agency
  • Pittsburgh, PA
  • NPI 1841218757
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679599427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WORTON BLVD",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151223536",
            "telephone_number": "412-466-6179"
        },
        {
            "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": "412-731-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CONSTANCE",
        "middle_name": "POLUSZEJKO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Jordan Hall, DO
• Brian Hall, PA-C
• Charles Hall
• Charles P Hall
• Christine Renee Hall, MD
• Daniel Emerson Hall, MD
• David George Hall, MD
• Deanne Lynn Hall, PHARM. D.
• Evan Alan Hall, DDS
• Fredda A Hall, R.N.

• Clinical Social Worker in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.