NPIMap

Organization Active NPI

Luzerne County Children & Youth Services

  • Social Worker
  • Wilkes-Barre, PA
National Provider Identifier
1023551801
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
LUZERNE COUNTY CHILDREN & YOUTH SERVICES
Practice address
111 North Pennsylvania Avenue, Suite 110
Wilkes-Barre, PA 18701-3697
Phone
(570) 826-8710
Fax
(570) 826-8704
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Ms. Sonia Love
Title
Fiscal Officer
Phone
(570) 826-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

111 North Pennsylvania Avenue, Suite 110
Wilkes-Barre, PA 18701-3697

Mailing address

111 North Pennsylvania Avenue, Suite 110
Wilkes-Barre, PA 18701-3697
Phone (570) 826-8710

National Provider Directory

National Provider Directory
Tax ID family
Luzerne Wyoming Counties Mental Health Mental Retardation Program5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 N Pennsylvania Ave
Ste 110
Wilkes Barre, PA 18701
Phone (570) 826-8710

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1023551801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTH PENNSYLVANIA AVENUE, SUITE 110",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187013697",
            "telephone_number": "570-826-8710",
            "fax_number": "570-826-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTH PENNSYLVANIA AVENUE, SUITE 110",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187013697",
            "telephone_number": "570-826-8710",
            "fax_number": "570-826-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZERNE COUNTY CHILDREN & YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "570-826-8710",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes-Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.