Individual provider Active NPI

Nicolle Marie Pascarella, LSW

  • Social Worker
  • Struthers, OH
National Provider Identifier
1083862585
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0800410 Issued in OH
Practice address
420 Youngstown Poland Rd
Struthers, OH 44471-1058
Phone
(330) 755-2147
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0800410 OH Primary

Addresses

Primary practice location

420 Youngstown Poland Rd
Struthers, OH 44471-1058

Mailing address

629 N Schenley Ave
Youngstown, OH 44509-1832
Phone (330) 792-5294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130321000035 OH Practitioner - Clinical Social Worker 2062657117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Counseling Solutions LLCGroup PAC ID 2860799459, 11 clinicians

Practice addresses (Care Compare)

5204 Mahoning Ave
Suite 105
Youngstown, OH 44515-1808
Phone (330) 797-0036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0800410OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Solutions LLC CurrentSince Jul 1, 2016 Accepting new patients
Compass Family and Community Services Past Accepting new patients

Locations

5204 Mahoning Ave
Ste 105
Youngstown, OH 44515
Phone (330) 797-0036

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1083862585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N SCHENLEY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091832",
            "telephone_number": "330-792-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 YOUNGSTOWN POLAND RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711058",
            "telephone_number": "330-755-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLA",
        "first_name": "NICOLLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0800410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Struthers, OH

Sources for this page

Verify at the official NPI Registry.