Active NPI
Ashley Gallo, LCSW
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1801431994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022123
- Practice address
- 2000 E Carson St Ste 200
Pittsburgh, PA 15203-1957 - Phone
- (412) 609-6762
- Fax
- (412) 404-3972
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW136582 | PA | |
| Clinical Social Worker | 1041C0700X | CW022123 | PA | Primary |
Addresses
Primary practice location
2000 E Carson St Ste 200
Pittsburgh, PA 15203-1957
Mailing address
2000 E Carson St Ste 200
Pittsburgh, PA 15203-1957
Phone (412) 609-6762
Other practice location 1
5701 Centre Ave Ste L12
Pittsburgh, PA 15206-3776
Phone (412) 362-1470
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW136582 | PA | MD | Social Worker |
| CW022123 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fourth River Therapy LLC | Clinical | Current | Accepting new patients |
| Robert F. Coufal PHD and Associates PC | Single Specialty | Current | Accepting new patients |
Locations
2000 E Carson St
Ste 200
Pittsburgh, PA 15203
Phone (412) 609-6762
5701 Centre Ave
Ste L12
Pittsburgh, PA 15206
Phone (412) 362-1470
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.
-
- Clinical Social Worker
- Pittsburgh, PA
- NPI 1700508108
-
- Forensic Psychologist
- Pittsburgh, PA
- NPI 1386194777
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1801431994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E CARSON ST STE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152031957",
"telephone_number": "412-609-6762",
"fax_number": "412-404-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E CARSON ST STE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152031957",
"telephone_number": "412-609-6762",
"fax_number": "412-404-3972"
}
],
"practiceLocations": [
{
"address_1": "5701 Centre Ave Ste L12",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152063776",
"country_code": "US",
"telephone_number": "412-362-1470",
"fax_number": "412-362-1472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLO",
"first_name": "ASHLEY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "PA",
"license": "SW136582",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW022123",
"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 Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.