Individual provider Active NPI

Ashley Gallo, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1801431994
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022123 Issued in PA
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

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
SW136582PAMDSocial Worker
CW022123PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth River Therapy LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients
Robert F. Coufal PHD and Associates PC Single Specialty CurrentSince Nov 1, 2019 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.

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.

Verify at the official NPI Registry.