Individual provider Active NPI

Jessica Green Olifson, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1679605349
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017278 Issued in PA
Practice address
1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131
Phone
(412) 967-0610
Fax
(412) 968-0527
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS23349 CA
Clinical Social Worker 1041C0700X CW017278 PA Primary

Addresses

Primary practice location

1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131

Mailing address

1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131
Phone (412) 967-0610

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
I20120509000226 PA Practitioner - Clinical Social Worker 2860654845 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Brilliant Ave
Suite B
Pittsburgh, PA 15215-3145
Phone (323) 578-8463

6 Loop St
Suite 3
Aspinwall, PA 15215-3248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS23349CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Mental Health Associates PC CurrentSince Apr 1, 2012 Accepting new patients

Locations

1326 Freeport Rd
Ste 250
Pittsburgh, PA 15238
Phone (412) 967-5656

700 Blaw Ave
Ste 201
Pittsburgh, PA 15238
Phone (412) 820-2400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1679605349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 FREEPORT RD",
            "address_2": "SUITE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383131",
            "telephone_number": "412-967-0610",
            "fax_number": "412-968-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 FREEPORT RD",
            "address_2": "SUITE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383131",
            "telephone_number": "412-967-0610",
            "fax_number": "412-968-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIFSON",
        "first_name": "JESSICA",
        "middle_name": "GREEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23349",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.