Individual provider Active NPI

Jessica Lynn Gurley, LCSW

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1972843050
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
101YP2500X Issued in PA
Practice address
6435 Frankstown Ave
Pittsburgh, PA 15206-4055
Phone
(412) 204-6934
NPI assigned
Feb 26, 2013
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 101YP2500X PA Primary

Addresses

Primary practice location

6435 Frankstown Ave
Pittsburgh, PA 15206-4055

Mailing address

5434 Kincaid St
Pittsburgh, PA 15206-2856
Phone (412) 204-6934

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
101YP2500XPAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Social Work Consulting and Counseling LLC CurrentSince Jun 28, 2020 Accepting new patients
Glade Run Lutheran Services Past Accepting new patients
Francis C Harris PastSince Oct 29, 2016 Accepting new patients

Locations

910 Braddock Ave
Braddock, PA 15104
Phone (412) 204-6934

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, 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": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1972843050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 KINCAID ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152062856",
            "telephone_number": "412-204-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 FRANKSTOWN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064055",
            "telephone_number": "412-204-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "101YP2500X",
            "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 30, 2023; 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.