Individual provider Active NPI

Thaddeus Uchenna Osuagwu, LCSW

  • Clinical Social Worker
  • Homestead, PA
National Provider Identifier
1770008203
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022630 Issued in PA
Practice address
109 Whitaker St
Homestead, PA 15120-2411
Phone
(412) 482-4540
Fax
(412) 301-1868
NPI assigned
Aug 5, 2017
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12407203-3501 UT
Clinical Social Worker 1041C0700X I.2203543 OH
Clinical Social Worker 1041C0700X CW022630 PA Primary

Addresses

Primary practice location

109 Whitaker St
Homestead, PA 15120-2411

Mailing address

217 Constitution Ave
West Mifflin, PA 15122-1938
Phone (443) 221-1201

Other practice location 1

217 Constitution Ave
West Mifflin, PA 15122-1938
Phone (443) 221-1201

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
I20220503000792 PA Practitioner - Clinical Social Worker 3678960085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Whitaker St
Homestead, PA 15120-2411
Phone (412) 482-4540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203543OHMDClinical Social Worker
CW022630PAMDClinical Social Worker
12407203-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Human Services, LLC Current Accepting new patients
Pathway Human Services of Pennsylvania Clinical CurrentSince Jan 13, 2026 Accepting new patients

Organizations & group practices 3

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": "1501891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1770008203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CONSTITUTION AVE",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151221938",
            "telephone_number": "14432211201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WHITAKER ST",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151202411",
            "telephone_number": "412-482-4540",
            "fax_number": "412-301-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "West Mifflin",
            "state": "PA",
            "postal_code": "151221938",
            "country_code": "US",
            "telephone_number": "14432211201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSUAGWU",
        "first_name": "THADDEUS",
        "middle_name": "UCHENNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-05",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12407203-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203543",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, PA

Sources for this page

Verify at the official NPI Registry.