MEDICARE: CONSTELLATE PATCHWORK THERAPY & CONSULTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1235819483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSTELLATE PATCHWORK THERAPY & CONSULTING

Provider Business Mailing Address
First Line	:	5840 ELLSWORTH AVE STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	814-264-3837
Fax Number	:	724-330-7278

Provider Business Practice Location Address
First Line	:	5840 ELLSWORTH AVE STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	814-264-3837
Fax Number	:	724-330-7278

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	JESSICA STORM
Credential	:	LCSW
Telephone Number	:	814-758-0442

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	05/29/2026

Similar Medicare Providers

1205586880 — JESSICA STORM
Practice Location Address:

5840 ELLSWORTH AVE STE 100
PITTSBURGH, PA
15232-1727

Practice Phone: 814-264-3837
Practice Fax: 724-330-7278

1043421720 — J. CHRISTOPHER POTTS PT, DPT
Practice Location Address:

5840 ELLSWORTH AVE STE 302
PITTSBURGH, PA
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Practice Phone: 412-363-4050
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Practice Location Address:

5840 ELLSWORTH AVE STE 302
PITTSBURGH, PA
15232-1727

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1467766618 — MICHAEL ROBERT PARKER LCSW
Practice Location Address:

5840 ELLSWORTH AVE STE 100
PITTSBURGH, PA
15232-1727

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1275095515 — DR. IAN HALIM MD
Practice Location Address:

5840 ELLSWORTH AVE STE 100
PITTSBURGH, PA
15232-1727

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Practice Fax:

1174132609 — JOSHUA ALLEN SCHMADER MA
Practice Location Address:

5840 ELLSWORTH AVE STE 104
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15232-1727

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Directions to “CONSTELLATE PATCHWORK THERAPY & CONSULTING ” Practice Location

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