Individual provider Active NPI

Christina Hostutler, LCSW

  • Clinical Social Worker
  • Bridgeville, PA
National Provider Identifier
1962738062
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015056 Issued in PA
Practice address
1840 Mayview Rd Ste 204
Bridgeville, PA 15017-1590
Phone
(412) 527-8407
NPI assigned
Oct 23, 2009
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 CW015056 PA Primary

Addresses

Primary practice location

1840 Mayview Rd Ste 204
Bridgeville, PA 15017-1590

Mailing address

2936 Espy Ave
Pittsburgh, PA 15216-2017
Phone (412) 527-8407

Other practice location 1

1720 Washington Rd
Pittsburgh, PA 15241-1208
Phone (412) 561-5405

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
I20171227000206 PA Practitioner - Clinical Social Worker 2466710389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1840 Mayview Rd
Suite 204
Bridgeville, PA 15017-1590
Phone (412) 230-3833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Hostutler Counseling LLC CurrentSince Apr 19, 2021 Accepting new patients

Locations

1840 Mayview Rd
Ste 204
Bridgeville, PA 15017
Phone (412) 200-0791

Organizations & group practices 2

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": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1962738062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 ESPY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162017",
            "telephone_number": "412-527-8407",
            "fax_number": "412-386-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MAYVIEW RD STE 204",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171590",
            "telephone_number": "412-527-8407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152411208",
            "country_code": "US",
            "telephone_number": "412-561-5405",
            "fax_number": "412-561-4581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSTUTLER",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.