Individual provider Active NPI

Susan C Thompson, LCSW

  • Clinical Social Worker
  • Tarentum, PA
National Provider Identifier
1881600765
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013688 Issued in PA
Practice address
216 W 9TH Ave Ste 22
Tarentum, PA 15084-1242
Phone
(724) 882-7097
Fax
(724) 671-7292
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 CW013688 PA Primary

Addresses

Primary practice location

216 W 9TH Ave Ste 22
Tarentum, PA 15084-1242

Mailing address

216 W 9TH Ave Ste 22
Tarentum, PA 15084-1242
Phone (724) 882-7097

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
I20050526000509 PA Practitioner - Clinical Social Worker 0345282646 Practice locations: Oakmont, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

414 Allegheny River Blvd
Suite 416
Oakmont, PA 15139-1725
Phone (412) 828-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1881600765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W 9TH AVE STE 22",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841242",
            "telephone_number": "724-882-7097",
            "fax_number": "724-671-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W 9TH AVE STE 22",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841242",
            "telephone_number": "724-882-7097",
            "fax_number": "724-671-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarentum, PA

Sources for this page

Verify at the official NPI Registry.