Individual provider Active NPI

Mark F Lepore, ED.D

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1962688911
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014728 Issued in PA
Practice address
110 Fort Couch Rd
Suite G-200
Pittsburgh, PA 15241-1030
Phone
(412) 347-0170
Fax
(412) 347-0174
NPI assigned
Jan 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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 CW014728 PA Primary

Addresses

Primary practice location

110 Fort Couch Rd
Suite G-200
Pittsburgh, PA 15241-1030

Mailing address

110 Fort Couch Rd
Suite G-200
Pittsburgh, PA 15241-1030
Phone (412) 347-0170

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014728PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Clinical Psychiatry PC Clinical PastSince Oct 30, 2001 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": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1962688911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FORT COUCH RD",
            "address_2": "SUITE G-200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411030",
            "telephone_number": "412-347-0170",
            "fax_number": "412-347-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FORT COUCH RD",
            "address_2": "SUITE G-200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411030",
            "telephone_number": "412-347-0170",
            "fax_number": "412-347-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORE",
        "first_name": "MARK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-20",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014728",
            "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 Oct 17, 2011; 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.