Individual provider Active NPI

Dana Sukeena, LCSW

  • Clinical Social Worker
  • Pottsville, PA
National Provider Identifier
1073816104
Registry record updated Dec 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016823 Issued in PA
Practice address
1840 W End Ave
Pottsville, PA 17901-2030
Phone
(570) 294-0711
NPI assigned
Dec 12, 2010
Last updated
Dec 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016823 PA Primary

Addresses

Primary practice location

1840 W End Ave
Pottsville, PA 17901-2030

Mailing address

1840 W End Ave
Pottsville, PA 17901-2030
Phone (570) 294-0711

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
I20241023002602 PA Practitioner - Clinical Social Worker 4587197066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016823PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Schuylkill County, LLC CurrentSince Oct 1, 2024 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, 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": "1292112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292112000000",
    "number": "1073816104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012030",
            "telephone_number": "570-294-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012030",
            "telephone_number": "570-294-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKEENA",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-12",
        "last_updated": "2010-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.