Individual provider Active NPI

Kathleen Durst, MA LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1689019689
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017183 Issued in PA
Practice address
810 River Ave
Suite 260
Pittsburgh, PA 15212-5917
Phone
(917) 576-7169
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2013

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 078557-1 NY
Clinical Social Worker 1041C0700X CW017183 PA Primary

Addresses

Primary practice location

810 River Ave
Suite 260
Pittsburgh, PA 15212-5917

Mailing address

915 Penn Ave
#609
Pittsburgh, PA 15222-3803
Phone (917) 576-7169

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
078557-1NYMDClinical Social Worker
CW017183PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1689019689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PENN AVE",
            "address_2": "#609",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223803",
            "telephone_number": "917-576-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 RIVER AVE",
            "address_2": "SUITE 260",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125917",
            "telephone_number": "917-576-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURST",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "MA LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078557-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017183",
            "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 May 3, 2013; 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.