Individual provider Active NPI

Wendy E. McCorkle, L.C.S.W.

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1841209103
Registry record updated May 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW009465L Issued in PA
Practice address
1382 Old Freeport Rd
Suite 2Af
Pittsburgh, PA 15238-3159
Phone
(412) 963-7956
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2008

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 CW009465L PA Primary

Addresses

Primary practice location

1382 Old Freeport Rd
Suite 2Af
Pittsburgh, PA 15238-3159

Mailing address

1382 Old Freeport Rd
Suite 2Af
Pittsburgh, PA 15238-3159
Phone (412) 963-7956

Other identifiers 2

IdentifierTypeStateIssuer
000628075OtherPABLUE SHIELD NUMBER
205493OtherPAUPMC NUMBER

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
I20031105000563 PA Practitioner - Clinical Social Worker 1254243389 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1382 Old Freeport Rd
Suite 2Af
Pittsburgh, PA 15238-3137
Phone (412) 963-7956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW009465LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Psycare Inc Past Accepting new patients

Organizations & group practices 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1841209103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 OLD FREEPORT RD",
            "address_2": "SUITE 2AF",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383159",
            "telephone_number": "412-963-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 OLD FREEPORT RD",
            "address_2": "SUITE 2AF",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383159",
            "telephone_number": "412-963-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "WENDY",
        "middle_name": "E.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW009465L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "000628075",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC NUMBER",
            "identifier": "205493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.