Individual provider Active NPI

Allison Lin Noone, LSW

  • Social Worker
  • Blakely, PA
National Provider Identifier
1124689682
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW136141 Issued in PA
Practice address
1801 Main St
Blakely, PA 18447-1365
Phone
(570) 961-3361
Fax
(570) 961-3364
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 SW136141 PA Primary

Addresses

Primary practice location

1801 Main St
Blakely, PA 18447-1365

Mailing address

121 Lynch St
Olyphant, PA 18447-1635
Phone (570) 280-6970

Other practice location 1

1300 Old Plank Rd
Mayfield, PA 18433-1973
Phone (570) 281-6222

Other names 1

  • Allison Poltanis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Mayfield

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
I20231220000189 PA Practitioner - Clinical Social Worker 6507216306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Healthcare SolutionsGroup PAC ID 3274830336, 107 clinicians
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (585) 233-2817

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW136141PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John G Kuna Psy D & Associates LLC CurrentSince Dec 16, 2023 Accepting new patients
Silver Willow Wellness PC CurrentSince Dec 13, 2025 Accepting new patients
Vital Healthcare Solutions CurrentSince Dec 22, 2023 Accepting new patients

Locations

1801 Main St
Blakely, PA 18447

1011 Pennsylvania Ave
Matamoras, PA 18336
Phone (570) 491-4728

4101 Birney Ave
Moosic, PA 18507
Phone (507) 961-3361

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

Organizations & group practices 3

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1124689682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LYNCH ST",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471635",
            "telephone_number": "570-280-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471365",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Old Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "PA",
            "postal_code": "184331973",
            "country_code": "US",
            "telephone_number": "570-281-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONE",
        "first_name": "ALLISON",
        "middle_name": "LIN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Mayfield",
            "affiliation": "N",
            "address_1": "1300 Old Plank Rd",
            "city": "Mayfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184331973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "POLTANIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blakely, PA

Sources for this page

Verify at the official NPI Registry.