Individual provider Active NPI

Loraine Giuella Peconi-Bauman, LCSW

  • Social Worker
  • Monroeville, PA
National Provider Identifier
1912988353
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW014271 Issued in PA
Practice address
2550 Mosside Blvd
Sutie 304
Monroeville, PA 15146-3540
Phone
(412) 373-3471
Fax
(412) 373-7324
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW014271 PA Primary

Addresses

Primary practice location

2550 Mosside Blvd
Sutie 304
Monroeville, PA 15146-3540

Mailing address

2550 Mosside Blvd
Sutie 304
Monroeville, PA 15146-3540
Phone (412) 373-3471

Other identifiers 1

IdentifierTypeStateIssuer
276929OtherPAHIGHMARK

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
I20031103000428 PA Practitioner - Clinical Social Worker 3678485208 Reassigns benefits to 1 organization
Practice locations: Murrysville, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4222 Old William Penn Hwy
FL 2
Murrysville, PA 15668-1901
Phone (412) 251-6574

4689 Twin Oaks Dr
Murrysville, PA 15668-9449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW014271PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Clinical Psychiatry PC Social Worker PastSince Oct 30, 2001 Accepting new patients
Family Behavioral Resources, Inc. PastSince Oct 1, 2009 Accepting new patients
Nourishmentor Past Accepting new patients
Upmc St. Margaret Past Accepting new patients
Monarch Behavioral Health Asssociates PastSince Mar 23, 2016 Accepting new patients

Organizations & group practices 6

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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1912988353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUTIE 304",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463540",
            "telephone_number": "412-373-3471",
            "fax_number": "412-373-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUTIE 304",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463540",
            "telephone_number": "412-373-3471",
            "fax_number": "412-373-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECONI-BAUMAN",
        "first_name": "LORAINE",
        "middle_name": "GIUELLA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "LW014271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "276929",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.