Individual provider Active NPI

Petresa Rollison, LCSW

  • Clinical Social Worker
  • New Kensington, PA
National Provider Identifier
1912786161
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023278 Issued in PA
Practice address
1072 5TH Ave
New Kensington, PA 15068-6234
Phone
(724) 334-3640
Fax
(724) 334-3644
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 CW023278 PA Primary

Addresses

Primary practice location

1072 5TH Ave
New Kensington, PA 15068-6234

Mailing address

1072 5TH Ave
New Kensington, PA 15068-6234
Phone (724) 953-1822

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address petresa.rollison@upmcdirect.com

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
I20250228000729 PA Practitioner - Clinical Social Worker 9335669787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1072 5TH Ave
New Kensington, PA 15068-6234
Phone (724) 334-3640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW023278PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Feb 1, 2025 Accepting new patients
Upmc Community Medicine, Inc. CurrentSince Feb 1, 2025 Accepting new patients

Locations

1072 5th Ave
New Kensington, PA 15068
Phone (724) 334-3640

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1912786161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 5TH AVE",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686234",
            "telephone_number": "724-953-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 5TH AVE",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686234",
            "telephone_number": "724-334-3640",
            "fax_number": "724-334-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLISON",
        "first_name": "PETRESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "petresa.rollison@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.