Individual provider Active NPI

Kaitlyn Pry, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1699211235
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019328 Issued in PA
Practice address
615 Washington Rd Ste TL6
Pittsburgh, PA 15228-1926
Phone
(412) 561-5405
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 CW019328 PA Primary

Addresses

Primary practice location

615 Washington Rd Ste TL6
Pittsburgh, PA 15228-1926

Mailing address

3057 Texas Ave
FL 2
Pittsburgh, PA 15216-2438

Other practice location 1

445 Jayson Ave
Pittsburgh, PA 15228-1215
Phone (724) 255-6472

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

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Teen & Family Services Inc CurrentSince Aug 11, 2024 Accepting new patients
Associates in Behavioral Diagnostics and Treatment, LLC Past Accepting new patients

Locations

615 Washington Rd
Ste TL6
Pittsburgh, PA 15228
Phone (412) 561-5405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1699211235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 TEXAS AVE",
            "address_2": "FL 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON RD STE TL6",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281926",
            "telephone_number": "412-561-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Jayson Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152281215",
            "country_code": "US",
            "telephone_number": "724-255-6472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRY",
        "first_name": "KAITLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019328",
            "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 Aug 8, 2024; 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.