Active NPI
Susan Schlasta, LCSW, BCD
- Clinical Social Worker
- Jermyn, PA
National Provider Identifier
1164844189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013172
- Practice address
- 401 Washington Ave Apt a
Jermyn, PA 18433-1327 - Phone
- (570) 876-5439
- NPI assigned
- Jan 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013172 | PA | Primary |
Addresses
Primary practice location
401 Washington Ave Apt a
Jermyn, PA 18433-1327
Mailing address
401 Washington Ave Apt a
Jermyn, PA 18433-1327
Phone (570) 876-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW013172 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1164844189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WASHINGTON AVE APT A",
"city": "JERMYN",
"state": "PA",
"postal_code": "184331327",
"telephone_number": "570-876-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WASHINGTON AVE APT A",
"city": "JERMYN",
"state": "PA",
"postal_code": "184331327",
"telephone_number": "570-876-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLASTA",
"first_name": "SUSAN",
"credential": "LCSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-10",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jermyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.