NPIMap

Organization Active NPI

Jewish Family Service of Northeastern Pennsylvania

  • Clinical Social Worker
  • Scranton, PA
National Provider Identifier
1184650681
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEWISH FAMILY SERVICE OF NORTHEASTERN PENNSYLVANIA
Practice address
615 Jefferson Ave
Suite 204
Scranton, PA 18510-1630
Phone
(570) 344-1186
Fax
(570) 344-7641
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Ms. Sheila N Abdo, LCSWNPI 1134164890
Title
Executive Director
Phone
(570) 344-1186

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 MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

615 Jefferson Ave
Suite 204
Scranton, PA 18510-1630

Mailing address

615 Jefferson Ave
Suite 204
Scranton, PA 18510-1630
Phone (570) 344-1186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000080 PA Part B Supplier - Clinic/Group Practice 3375581036 Receives reassigned benefits from 3 practitioners
Practice locations: Scranton, PA; Stroudsburg, PA

National Provider Directory

National Provider Directory

Locations

615 Jefferson Ave
Ste 204
Scranton, PA 18510
Phone (570) 344-1186

727 Main St
Stroudsburg, PA 18360
Phone (570) 517-0815

Practitioners & affiliated clinicians

Practitioners 8

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1184650681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 JEFFERSON AVE",
            "address_2": "SUITE 204",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101630",
            "telephone_number": "570-344-1186",
            "fax_number": "570-344-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 JEFFERSON AVE",
            "address_2": "SUITE 204",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101630",
            "telephone_number": "570-344-1186",
            "fax_number": "570-344-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE OF NORTHEASTERN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-344-1186",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.