NPIMap

Organization Active NPI

Open Space Counseling, Consulting & Wellness

  • Clinical Social Worker
  • Wexford, PA
National Provider Identifier
1972157006
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OPEN SPACE COUNSELING, CONSULTING & WELLNESS
Practice address
101 Bradford Rd Ste 330
Wexford, PA 15090-6938
Phone
(724) 777-1433
NPI assigned
Jul 26, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Samantha Goldberg, MSW, LCSWNPI 1316322589
Title
Owner
Phone
(724) 777-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

101 Bradford Rd Ste 330
Wexford, PA 15090-6938

Mailing address

101 Bradford Rd Ste 330
Wexford, PA 15090-6938
Phone (724) 777-1433

Other practice location 1

101 Bradford Rd Ste 200
Wexford, PA 15090-6909
Phone (724) 777-1433

National Provider Directory

National Provider Directory

Locations

101 Bradford Rd
Ste 330
Wexford, PA 15090
Phone (724) 777-1433

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1972157006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRADFORD RD STE 330",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906938",
            "telephone_number": "724-777-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRADFORD RD STE 330",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906938",
            "telephone_number": "724-777-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bradford Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150906909",
            "country_code": "US",
            "telephone_number": "724-777-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN SPACE COUNSELING, CONSULTING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-777-1433",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.