Active NPI
Jessica Burden
- Social Worker
- Uniontown, PA
National Provider Identifier
1861291932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW142346
- Practice address
- 100 New Salem Rd Ste 116
Uniontown, PA 15401-8936 - Phone
- (724) 437-0729
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- No
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 | SW142346 | PA | Primary |
Addresses
Primary practice location
100 New Salem Rd Ste 116
Uniontown, PA 15401-8936
Mailing address
100 New Salem Rd Ste 116
Uniontown, PA 15401-8936
Phone (724) 437-0729
Other names 1
- Jessica Gallo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mailbox@CRCSI.credible2.direct-ci.com | Direct | CHESTNUT RIDGE COUNSELING SERVICES INC |
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 |
|---|---|---|---|
| SW142346 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chestnut Ridge Counseling Services Inc | Past | Accepting new patients |
Interoperability endpoints
- mailbox@crcsi.credible2.direct-ci.com
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Uniontown, PA
- NPI 1063489482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1861291932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NEW SALEM RD STE 116",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154018936",
"telephone_number": "724-437-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NEW SALEM RD STE 116",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154018936",
"telephone_number": "724-437-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDEN",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW142346",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mailbox@CRCSI.credible2.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CHESTNUT RIDGE COUNSELING SERVICES INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 New Salem Rd Ste 116",
"city": "Uniontown",
"state": "PA",
"country_code": "US",
"postal_code": "154018936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GALLO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.