Individual provider Active NPI

Jessica Segal, LSW

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1861910051
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW135310 Issued in PW
Practice address
3811 Ohara St
Pittsburgh, PA 15213-2561
Phone
(412) 624-2100
NPI assigned
Sep 7, 2017
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135310 PW Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

3811 Ohara St
Pittsburgh, PA 15213-2561

Mailing address

655 Maryland Ave Apt 33
Shadyside, PA 15232-1950

Other practice location 1

210 E 33rd St
New York, NY 10016-4802
Phone (212) 685-4366

Other practice location 2

807 Wallace Ave
Pittsburgh, PA 15221
Phone (412) 383-1559

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

LicenseStateTypeSpecialty
SW135310PWMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1861910051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MARYLAND AVE APT 33",
            "city": "SHADYSIDE",
            "state": "PA",
            "postal_code": "152321950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561",
            "telephone_number": "412-624-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E 33rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164802",
            "country_code": "US",
            "telephone_number": "212-685-4366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 Wallace Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15221",
            "country_code": "US",
            "telephone_number": "412-383-1559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "JESSICA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PW",
            "license": "SW135310",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 20, 2020; 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.