Active NPI
Tessa A Paivanas, SOCIAL WORK
- Social Worker
- Pittsburgh, PA
National Provider Identifier
1831737485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW135849
- Practice address
- 4100 Allequippa St
Fisher House, Building 33
Pittsburgh, PA 15219 - Phone
- (412) 360-2030
- Fax
- (412) 360-2019
- NPI assigned
- Dec 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW135849 | PA | Primary |
Addresses
Primary practice location
4100 Allequippa St
Fisher House, Building 33
Pittsburgh, PA 15219
Mailing address
714 Maryland Ave Apt 3
Pittsburgh, PA 15232-2504
Phone (703) 899-6969
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 |
|---|---|---|---|
| SW135849 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1831737485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 MARYLAND AVE APT 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152322504",
"telephone_number": "703-899-6969",
"fax_number": "412-360-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 ALLEQUIPPA ST",
"address_2": "FISHER HOUSE, BUILDING 33",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15219",
"telephone_number": "412-360-2030",
"fax_number": "412-360-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIVANAS",
"first_name": "TESSA",
"middle_name": "A",
"credential": "SOCIAL WORK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW135849",
"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 Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.