Individual provider Active NPI

Rosemary Caolo, LCSW

  • Clinical Social Worker
  • Scranton, PA
National Provider Identifier
1154399962
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012908 Issued in PA
Practice address
1512 E Gibson St
Scranton, PA 18510-1902
Phone
(570) 347-6665
Fax
(570) 347-6665
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW012908 PA Primary

Addresses

Primary practice location

1512 E Gibson St
Scranton, PA 18510-1902

Mailing address

1512 E Gibson St
Scranton, PA 18510-1902
Phone (570) 347-6665

Other identifiers 1

IdentifierTypeStateIssuer
0018985600001MedicaidPA

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
I20060224000682 PA Practitioner - Clinical Social Worker 6800802018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1512 E Gibson St
Scranton, PA 18510-1902
Phone (570) 575-3195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Pennsylvania LLC CurrentSince Mar 20, 2024 Accepting new patients
Scranton Counseling Center CurrentSince Dec 28, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

1141 Clay Ave
Ste 2
Scranton, PA 18510
Phone (570) 207-7919

329 Cherry St
Scranton, PA 18505
Phone (570) 348-6100

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1154399962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 E GIBSON ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101902",
            "telephone_number": "570-347-6665",
            "fax_number": "570-347-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E GIBSON ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101902",
            "telephone_number": "570-347-6665",
            "fax_number": "570-347-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAOLO",
        "first_name": "ROSEMARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018985600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.