Active NPI
Maryann Hall, LCSW
- Mental Health Counselor
- Scranton, PA
National Provider Identifier
1093772949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CW009582L
- Practice address
- 1615 E Elm St
Scranton, PA 18505-3925 - Phone
- (570) 342-8305
- Fax
- (570) 344-1178
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CW009582L | PA | Primary |
Addresses
Primary practice location
1615 E Elm St
Scranton, PA 18505-3925
Mailing address
115 Crown Ave
Scranton, PA 18505-2002
Phone (570) 963-5872
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW009582L | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1093772949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CROWN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185052002",
"telephone_number": "570-963-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 E ELM ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053925",
"telephone_number": "570-342-8305",
"fax_number": "570-344-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MARYANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "CW009582L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.