Individual provider Active NPI

Luisa Bonavita, MSW, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1831100114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW-012522 Issued in PA
Practice address
1380 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-3127
Phone
(412) 417-9163
Fax
(724) 935-6610
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW-012522 PA Primary

Addresses

Primary practice location

1380 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-3127

Mailing address

1380 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-3127
Phone (412) 417-9163

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
I20150406002172 PA Practitioner - Clinical Social Worker 1759609621 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1370 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-4104
Phone (412) 417-9163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW-012522PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Presbyterian Shadyside CurrentSince Aug 30, 2023 Accepting new patients
Luisa a Bonavita CurrentSince Jan 12, 2025 Accepting new patients
Upmc Presbyterian Shadyside CurrentSince Aug 30, 2023 Accepting new patients

Locations

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

1370 Old Freeport Rd
Ste 2B
Pittsburgh, PA 15238
Phone (412) 203-5309

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

Interoperability endpoints

  • Direct secure messaging: luisa.a.bonavita@upmcdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831100114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 OLD FREEPORT RD",
            "address_2": "SUITE 2B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383127",
            "telephone_number": "412-417-9163",
            "fax_number": "724-935-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 OLD FREEPORT RD",
            "address_2": "SUITE 2B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383127",
            "telephone_number": "412-417-9163",
            "fax_number": "724-935-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVITA",
        "first_name": "LUISA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW-012522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.