Individual provider Active NPI

Salvatore Seth Modesto, LSW

  • Clinical Social Worker
  • Shillington, PA
National Provider Identifier
1063664860
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018992 Issued in PA
Practice address
527 E Lancaster Ave
Shillington, PA 19607-1364
Phone
(610) 796-8110
NPI assigned
Oct 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW126768 PA
Clinical Social Worker 1041C0700X CW018992 PA Primary

Addresses

Primary practice location

527 E Lancaster Ave
Shillington, PA 19607-1364

Mailing address

63 Wyomissing Hills Blvd
Reading, PA 19609-1775
Phone (570) 449-3703

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160506000592 PA Practitioner - Clinical Social Worker 6709185176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alternative Consulting Enterprises LLC.Group PAC ID 1759359540, 9 clinicians

Practice addresses (Care Compare)

527 E Lancaster Ave
Shillington, PA 19607-1364
Phone (610) 796-8110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW126768PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Consulting Enterprises LLC CurrentSince Apr 2, 2016 Accepting new patients

Locations

527 E Lancaster Ave
Shillington, PA 19607
Phone (610) 796-8110

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1063664860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WYOMISSING HILLS BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091775",
            "telephone_number": "570-449-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 E LANCASTER AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071364",
            "telephone_number": "610-796-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTO",
        "first_name": "SALVATORE",
        "middle_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126768",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

Verify at the official NPI Registry.