Active NPI
Debra Lee Suierveld, L.S.W.
- Clinical Social Worker
- Apollo, PA
National Provider Identifier
1104022698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW008460-L
- Practice address
- 317 Young Dr
Apollo, PA 15613-9677 - Phone
- (724) 727-2177
- NPI assigned
- Jun 22, 2007
- Last updated
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW008460-L | PA | Primary |
Addresses
Primary practice location
317 Young Dr
Apollo, PA 15613-9677
Mailing address
317 Young Dr
Apollo, PA 15613-9677
Phone (724) 727-2177
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 |
|---|---|---|---|
| SW008460-L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pritchett Behavioral Health | Past | 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": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1104022698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 YOUNG DR",
"city": "APOLLO",
"state": "PA",
"postal_code": "156139677",
"telephone_number": "724-727-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 YOUNG DR",
"city": "APOLLO",
"state": "PA",
"postal_code": "156139677",
"telephone_number": "724-727-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUIERVELD",
"first_name": "DEBRA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "L.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW008460-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apollo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.