Organization Active NPI

Andrew J Eppich LCSW LLC

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1790202083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017450 Issued in PA
Legal business name
ANDREW J EPPICH LCSW LLC
Practice address
20 Cedar Blvd Ste 200
Pittsburgh, PA 15228-1330
Phone
(412) 215-9787
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Andrew EppichNPI 1023369659
Title
Owner
Phone
(412) 215-9787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW017450 PA Primary

Addresses

Primary practice location

20 Cedar Blvd Ste 200
Pittsburgh, PA 15228-1330

Mailing address

20 Cedar Blvd Ste 200
Pittsburgh, PA 15228-1330
Phone (412) 215-9787

Other identifiers 1

IdentifierTypeStateIssuer
002729120OtherHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171014000027 PA Part B Supplier - Clinic/Group Practice 6204101470 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

20 Cedar Blvd
Ste 200
Pittsburgh, PA 15228
Phone (412) 215-9787

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790202083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR BLVD STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281330",
            "telephone_number": "412-215-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR BLVD STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281330",
            "telephone_number": "412-215-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J EPPICH LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EPPICH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-215-9787"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "002729120",
            "state": null
        }
    ],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.