Individual provider Active NPI

Sabrina A Kotrick, MSW, LSW

  • Social Worker
  • Northern Cambria, PA
National Provider Identifier
1114455227
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW133971 Issued in PA
Practice address
802 Chestnut Ave
Northern Cambria, PA 15714-1462
Phone
(814) 241-6520
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 SW133971 PA Primary

Addresses

Primary practice location

802 Chestnut Ave
Northern Cambria, PA 15714-1462

Mailing address

802 Chestnut Ave
Northern Cambria, PA 15714-1462

Other practice location 1

118 W High St
Ebensburg, PA 15931-1539
Phone (814) 472-9330

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
I20210315000530 PA Practitioner - Clinical Social Worker 1355757550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alternative Community Resource Program, Inc.Group PAC ID 0244277234, 13 clinicians

Practice addresses (Care Compare)

118 W High St
Ebensburg, PA 15931-1539
Phone (814) 472-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW133971PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Resources, Inc. CurrentSince Nov 15, 2021 Accepting new patients

Locations

655 Church St
Ste E330
Indiana, PA 15701
Phone (724) 463-3600

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114455227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CHESTNUT AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CHESTNUT AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141462",
            "telephone_number": "814-241-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 W High St",
            "address_purpose": "LOCATION",
            "city": "Ebensburg",
            "state": "PA",
            "postal_code": "159311539",
            "country_code": "US",
            "telephone_number": "814-472-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTRICK",
        "first_name": "SABRINA",
        "middle_name": "A",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northern Cambria, PA

Sources for this page

Verify at the official NPI Registry.