Individual provider Active NPI

Thomas P. Hathaway, LCSW

  • Clinical Social Worker
  • Glenshaw, PA
National Provider Identifier
1689652984
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CWO12950 Issued in PA
Practice address
1412 Mount Royal Blvd
Suite 201
Glenshaw, PA 15116-2257
Phone
(412) 487-0949
NPI assigned
Jan 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CWO12950 PA Primary

Addresses

Primary practice location

1412 Mount Royal Blvd
Suite 201
Glenshaw, PA 15116-2257

Mailing address

1412 Mount Royal Blvd
Suite 201
Glenshaw, PA 15116-2257
Phone (412) 487-0949

Other identifiers 6

IdentifierTypeStateIssuer
01100OtherPACIGNA BEHAVIORAL HEALTH
148709OtherPAVALUE OPTIONS
202657OtherPAWESTERN BEHAVIORAL HEALTH
118209OtherPAMANAGED HEALTH NETWORK
55068600OtherPAMAGELLAN BEH. HEALTH
650376OtherPAHIGHMARK BC BS

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
I20120912000712 PA Practitioner - Clinical Social Worker 5395643944 Practice locations: Glenshaw, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CWO12950PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Honest Chiropractic PastSince Aug 13, 2018 Accepting new patients

Organizations & group practices 2

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689652984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MOUNT ROYAL BLVD",
            "address_2": "SUITE 201",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162257",
            "telephone_number": "412-487-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MOUNT ROYAL BLVD",
            "address_2": "SUITE 201",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162257",
            "telephone_number": "412-487-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO12950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "01100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "148709",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WESTERN BEHAVIORAL HEALTH",
            "identifier": "202657",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "118209",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEH. HEALTH",
            "identifier": "55068600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "650376",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenshaw, PA

Sources for this page

Verify at the official NPI Registry.