Active NPI
Alexandra Mistovich
- Clinical Social Worker
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022267
- Practice address
- 810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505 - Phone
- (412) 650-1100
- NPI assigned
- Oct 23, 2021
- Last updated
- Feb 2, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW022267 | PA | Primary |
Addresses
Primary practice location
810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505
Mailing address
810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505
Phone (412) 650-1100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5992 Steubenville Pike
Suite 205
MC Kees Rocks, PA 15136-1352
Phone (412) 329-7778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW022267 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Behavioral Diagnostics and Treatment, LLC | Current | Accepting new patients | |
| Jefferson Regional Medical Center | Current | Accepting new patients | |
| Associates in Behavioral Diagnostics and Treatment, LLC | Clinical | Past | Accepting new patients |
Locations
102 Broadway St
Ste 404
Carnegie, PA 15106
Phone (412) 245-6080
1150 Thorn Run Road Ext
Ste 110
Moon Twp, PA 15108
Phone (412) 329-7778
810 Clairton Blvd
Ste 500600
Pittsburgh, PA 15236
Phone (412) 650-1100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Moon TWP, PA
- NPI 1659649911
-
dba Jefferson Hospital Counseling Services
- Psychiatric Hospital Unit
- Pittsburgh, PA
- NPI 1720056138
-
- Professional Counselor
- Coraopolis, PA
- NPI 1568731867
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1891459160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 CLAIRTON BLVD STE 500600",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152365505",
"telephone_number": "412-650-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 CLAIRTON BLVD STE 500600",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152365505",
"telephone_number": "412-650-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTOVICH",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-23",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW022267",
"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 Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.