Nadya Gifeisman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018758 Issued in PA

Practice address

703 S Elmer Ave
Sayre, PA 18840-2400

Phone

(570) 203-1735

NPI assigned

Feb 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nadyagifeisman@tdh.allscriptsdirect.net

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.

• Nova Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sayre, PA
  • NPI 1316529415
  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  PA

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1104240704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 QUEEN ESTHER DR",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188409698",
            "telephone_number": "570-203-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S ELMER AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402400",
            "telephone_number": "570-203-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFEISMAN",
        "first_name": "NADYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali M. Ghellai, MD
• Subash Ghimire, M.D.
• Carina Gibbs, FNP
• Patrick Stewart Gibson, DO
• Mark Gifeisman, M.D.
• Eve-Marie Gilbert, NCC, LPC
• Olivia Gilbert
• Michael Fredric Gillan, DO
• Laurin Elaine Gilliard, MS, RD, CSR, LDN
• Anthony R. Gillott, MD

• Clinical Social Worker in Sayre, PA
• Providers in Sayre, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.