Active NPI
Brandon Ketchum
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1841773884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022228
- Practice address
- 1010 Delafield Rd
Pittsburgh, PA 15240-1005 - Phone
- (412) 822-1447
- NPI assigned
- Sep 14, 2018
- Last updated
- May 1, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW022228 | PA | Primary |
Addresses
Primary practice location
1010 Delafield Rd
Pittsburgh, PA 15240-1005
Mailing address
1010 Delafield Rd
Pittsburgh, PA 15240-1005
Phone (412) 822-1447
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 |
|---|---|---|---|
| CW022228 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1841773884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 DELAFIELD RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152401005",
"telephone_number": "412-822-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 DELAFIELD RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152401005",
"telephone_number": "412-822-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETCHUM",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-14",
"last_updated": "2024-05-01",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW022228",
"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 May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.