Edward D Sesack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013300 Issued in PA

Practice address

13 Saint John St
Schuylkill Haven, PA 17972-1652

Phone

(570) 385-8490

Fax

(570) 385-8491

NPI assigned

Jul 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Regional Human Services Associates Inc

  dba Ashland Behavioral Center

  • Community/Behavioral Health Agency
  • Ashland, PA
  • NPI 1750428066
  NPD (past)
• Schuylkill Therapy Associates

  • Clinical Social Worker
  • Schuylkill Haven, PA
  • NPI 1598881567
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063446052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SAINT JOHN ST",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179721652",
            "telephone_number": "570-385-8490",
            "fax_number": "570-385-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SAINT JOHN ST",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179721652",
            "telephone_number": "570-385-8490",
            "fax_number": "570-385-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESACK",
        "first_name": "EDWARD",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Charles Rubright Jr., MD
• Kathleen C. Rufolo, D.C.
• Schuylkill Haven Area School District
• Schuylkill Nursing Assocation Inc. (Schuylkill Home Care)
• Schuylkill Therapy Associates
• Heather Lynn Shappell, M.S.
• David Matthew Siminitus, RPH
• Samuel David Siminitus, RPH
• Thomas P. Siro, R.PH.
• Siros Pharmacy Inc

• Clinical Social Worker in Schuylkill Haven, PA
• Providers in Schuylkill Haven, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.