MARY JO CARLSON (NPI# 1316004922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316004922 |
| Entity Type | Individual |
| Full Name | MARY JO CARLSON |
| Credential | LCSW |
| Practice Address |
2770 S Park Rd Bethel Park PA 15102-3839 |
| Mailing Address |
Po Box 894 Bethel Park PA 15102-0894 |
| Practice Telephone | 4129253352 |
| Practice Fax Number | 4129253352 |
| Mailing Telephone | 4129253352 |
| Mailing Fax Number | 4128331578 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
004459 | MO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW016990 | PA | Behavioral Health & Social Service Providers |
| Street Address |
2770 S PARK RD |
| City | BETHEL PARK |
| State | PA |
| Zip Code | 15102-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417507484 | Mary Y. Amaditz | Technician | 6190 Irishtown Rd. Ext, Bethwl Park, PA 15102 | 2019-09-12 |
| 1104335587 | Holly Sarvas | Developmental Therapist | 5783 Glen Ora Drive, Bethel Park, PA 15102 | 2017-09-28 |
| 1497209795 | Ferguson Family Dentistry PC | Dentist | 4880 Library Road, Suite F, Bethel Park, PA 15102 | 2016-08-04 |
| 1023400348 | Elite Performance Solutions, LLC | Clinical Exercise Physiologist | 88 Fort Couch Rd., Bethel Park, PA 15102 | 2015-02-24 |
| 1417350711 | Katie Elizabeth Evans | Physical Therapy Assistant | 1200 Braun Run Road, Bethel Park, PA 15102 | 2014-09-30 |
| 1679901433 | Steven Ernest Carnevali | Dentist | 2404 Oxford Drive, Bethel Park, PA 15102 | 2013-10-14 |
| 1205194479 | Karin Larayne Tomshay | Massage Therapist | 5250 Library Road, Bethel Park, PA 15102 | 2012-04-25 |
| 1922393958 | Francesca Gurecka | Dentist | 2404 Oxford Dr., Bethel Park, PA 15102 | 2011-06-17 |
| 1538320270 | St Clair Medical Services | Clinic/Center | 2000 Oxford Driv, Suite 110, Pittsburgh, PA 15102 | 2008-06-24 |
| 1467679654 | Patrick Joseph Huber | Emergency Medical Technician, Paramedic | 4910 Brightwood Rd D-312, Bethel Park, PA 15102 | 2007-04-19 |
| Find all providers in zip 15102 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376936955 | Heather Walls | Social Worker | 4460 2nd St, Bethel Park, PA 15102-2956 | 2015-03-06 |
| 1174867311 | Lynda Herbertson | Social Worker | 6045 Oak Park Dr, Bethel Park, PA 15102-2347 | 2012-11-10 |
| 1821118712 | Allison Monaco Humplik | Social Worker | 18 Conestoga Dr, Bethel Park, PA 15102-1955 | 2007-04-02 |
| 1992863187 | Michelle Lynn Braun | Social Worker | 2940 S Park Rd, Bethel Park, PA 15102-1686 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619798 | Kealsey Brennan Beecham | Social Worker | 9071 Mill Creek Rd Apt 2411, Levittown, PA 19054-4233 | 2020-11-07 |
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1992305478 | Christina Lynn Watson | Social Worker | 939 Bayridge Ave, Pittsburgh, PA 15226-2133 | 2020-10-26 |
| 1992304455 | Sarah B Matas | Social Worker | 434 Kennett Pike, Chadds Ford, PA 19317-9383 | 2020-10-25 |
| 1023617743 | Cody Forsythe | Social Worker | 147 N 5th St Ste 2, Reading, PA 19601-3494 | 2020-10-23 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1790384147 | Julie Adelle Figueroa | Social Worker | 301 Washington St Apt 1313, Conshohocken, PA 19428-4010 | 2020-10-17 |
| 1265030712 | Samantha Barley | Social Worker | 16055 Perry Hwy Bldg 3, Wexford, PA 15090-6885 | 2020-10-15 |
| 1346848165 | Lianne Glaus Vighetti | Social Worker | 624 Deer Watch Rd, Bridgeville, PA 15017-1148 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | BETHEL PARK |
| Zip Code | 15102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.