Organization Active NPI

Ldjoanow MSW LLC

  • Clinical Social Worker
  • Hermitage, PA
National Provider Identifier
1114531076
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LDJOANOW MSW LLC
Practice address
850 S Hermitage Rd Ste E
Hermitage, PA 16148-3679
Phone
(724) 699-2870
Fax
(724) 347-1422
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Laurie Joanow, LCSWNPI 1922350032
Title
Owner
Phone
(724) 699-2870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

850 S Hermitage Rd Ste E
Hermitage, PA 16148-3679

Mailing address

850 S Hermitage Rd Ste E
Hermitage, PA 16148-3679
Phone (724) 699-2870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201005002217 PA Part B Supplier - Clinic/Group Practice 2961821376 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, PA

National Provider Directory

National Provider Directory

Locations

850 S Hermitage Rd
Ste E
Hermitage, PA 16148
Phone (724) 699-2870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1114531076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S HERMITAGE RD STE E",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483679",
            "telephone_number": "724-699-2870",
            "fax_number": "724-347-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S HERMITAGE RD STE E",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483679",
            "telephone_number": "724-699-2870",
            "fax_number": "724-347-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDJOANOW MSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "JOANOW",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-699-2870",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.