Krystin Rodack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021911 Issued in PA

Practice address

298 Ewing Rd
MC Kees Rocks, PA 15136-1836

Phone

(412) 771-3848

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1841860152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 STAYTON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152122759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 EWING RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361836",
            "telephone_number": "412-771-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ewing Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Kees Rocks",
            "state": "PA",
            "postal_code": "151361886",
            "country_code": "US",
            "telephone_number": "412-771-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 Brighton Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152122833",
            "country_code": "US",
            "telephone_number": "412-529-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODACK",
        "first_name": "KRYSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in McKees Rocks, PA
• Providers in McKees Rocks, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.