Individual provider Active NPI

Debra S. Gerse, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1700801990
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015883 Issued in PA
Practice address
777 Penn Center Blvd
Building 7, Suite 200
Pittsburgh, PA 15235-5927
Phone
(412) 243-3400
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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 CW015883 PA Primary

Addresses

Primary practice location

777 Penn Center Blvd
Building 7, Suite 200
Pittsburgh, PA 15235-5927

Mailing address

421 Alpine Village Dr
Monroeville, PA 15146-3752
Phone (724) 387-8046

Other identifiers 1

IdentifierTypeStateIssuer
CW015883OtherPALICENSE CLINICAL SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • 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
I20080313000074 PA Practitioner - Clinical Social Worker 5294810339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015883PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC Clinical CurrentSince Aug 7, 2023 Accepting new patients

Locations

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1700801990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ALPINE VILLAGE DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463752",
            "telephone_number": "724-387-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PENN CENTER BLVD",
            "address_2": "BUILDING 7, SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355927",
            "telephone_number": "412-243-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSE",
        "first_name": "DEBRA",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE CLINICAL SOCIAL WORKER",
            "identifier": "CW015883",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.