James Sullivan Fiesta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW126437 Issued in PA

Practice address

610 E Crawford Ave
Suite B
Connellsville, PA 15425-2171

Phone

(724) 603-2516

Fax

(724) 603-2514

NPI assigned

Oct 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Continuum Counseling Services LLC

  • Marriage & Family Therapist
  • Greensburg, PA
  • NPI 1437932662
  NPD (past)
• Riverstones Counseling Center, LLC

  • Clinical Social Worker
  • Connellsville, PA
  • NPI 1386024024
  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1013243252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E CRAWFORD AVE",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252171",
            "telephone_number": "724-603-2516",
            "fax_number": "724-603-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E CRAWFORD AVE",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252171",
            "telephone_number": "724-603-2516",
            "fax_number": "724-603-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESTA",
        "first_name": "JAMES",
        "middle_name": "SULLIVAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW126437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayette Physician Network Inc
• Fayette Physician Network Inc
• Fayette Specialty Associates
• Rachel Felice, M.ED, LBS
• Mya Fetty, MS
• Christie Marie Fike, LBS, BCBA
• Christina Fletcher, BS
• Kelly Ann Forish
• Jennifer Lynn Fosbrink, LCSW
• Chase Alan Frankhouser, PHARMD, RPH

• Clinical Social Worker in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.