Active NPI
Carol Bellomo Mack, MSW
- Clinical Social Worker
- Carlisle, PA
National Provider Identifier
1063412120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013916
- Practice address
- PCS, Inc.
1 Greystone Rd
Carlisle, PA 17013 - Phone
- (717) 245-9255
- Fax
- (717) 245-9198
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013916 | PA | Primary |
| Clinical Social Worker | 1041C0700X | SC05973 | NJ |
Addresses
Primary practice location
PCS, Inc.
1 Greystone Rd
Carlisle, PA 17013
Mailing address
PCS, Inc.
632 Cumberland St
Lebanon, PA 17042
Phone (717) 273-1710
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC05973 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Counseling Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Lebanon, PA
- NPI 1669474979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1063412120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PCS, INC.",
"address_2": "632 CUMBERLAND ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "17042",
"telephone_number": "717-273-1710",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PCS, INC.",
"address_2": "1 GREYSTONE RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "17013",
"telephone_number": "717-245-9255",
"fax_number": "717-245-9198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "CAROL",
"middle_name": "BELLOMO",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013916",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "SC05973",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.