Individual provider Active NPI

Diane Carol Crossan, LSW

  • Clinical Social Worker
  • Uniontown, PA
National Provider Identifier
1912462078
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0007059L Issued in PA
Practice address
315 Morgantown St Ste 7000
Uniontown, PA 15401-4878
Phone
(724) 557-6598
Fax
(724) 550-4160
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 SW0007059L PA Primary

Addresses

Primary practice location

315 Morgantown St Ste 7000
Uniontown, PA 15401-4878

Mailing address

71 Connor St
Uniontown, PA 15401-4080
Phone (724) 366-3176

Other identifiers 1

IdentifierTypeStateIssuer
102930181MedicaidPA

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
SW0007059LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Couples & Family Therapy, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1912462078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CONNOR ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014080",
            "telephone_number": "724-366-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MORGANTOWN ST STE 7000",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014878",
            "telephone_number": "724-557-6598",
            "fax_number": "724-550-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSAN",
        "first_name": "DIANE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW0007059L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102930181",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 4, 2019; 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.