Organization Active NPI

Woodside Professional Counseling

  • Clinical Social Worker
  • Ellwood City, PA
National Provider Identifier
1902059306
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013153 Issued in PA
Legal business name
WOODSIDE PROFESSIONAL COUNSELING
Practice address
314 6TH St
Ellwood City, PA 16117-1907
Phone
(724) 752-0116
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Marcy Pearsall, PHDNPI 1033261540
Title
Director
Phone
(724) 752-0116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW013153 PA Primary

Addresses

Primary practice location

314 6TH St
Ellwood City, PA 16117-1907

Mailing address

314 6TH St
Ellwood City, PA 16117-1907
Phone (724) 752-0116

National Provider Directory

National Provider Directory

Locations

314 6th St
Ellwood City, PA 16117
Phone (724) 752-0116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1902059306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 6TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171907",
            "telephone_number": "724-752-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 6TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171907",
            "telephone_number": "724-752-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "PEARSALL",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-752-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.