Individual provider Active NPI

Dylan Alexandra McKessy, LCSW

  • Clinical Social Worker
  • Monroeville, PA
National Provider Identifier
1780240820
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022024 Issued in PA
Practice address
244 Center Rd Ste 301
Monroeville, PA 15146-1789
Phone
(412) 256-8256
Fax
(888) 971-4394
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 CW022024 PA Primary

Addresses

Primary practice location

244 Center Rd Ste 301
Monroeville, PA 15146-1789

Mailing address

244 Center Rd Ste 301
Monroeville, PA 15146-1789
Phone (412) 256-8256

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
I20210820002728 PA Practitioner - Clinical Social Worker 8123423605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1780240820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 CENTER RD STE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461789",
            "telephone_number": "412-256-8256",
            "fax_number": "888-971-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 CENTER RD STE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461789",
            "telephone_number": "412-256-8256",
            "fax_number": "888-971-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKESSY",
        "first_name": "DYLAN",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.