NPIMap

Organization Active NPI

Skillswork PC

  • Clinical Social Worker
  • Mifflinburg, PA
National Provider Identifier
1194010959
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013818 Issued in PA
Legal business name
SKILLSWORK PC
Practice address
2295 Wildwood Rd
Mifflinburg, PA 17844-8249
Phone
(570) 524-0909
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Genelle Sweetser, LCSW
Title
President
Phone
(570) 898-0446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW013818 PA Primary

Addresses

Primary practice location

2295 Wildwood Rd
Mifflinburg, PA 17844-8249

Mailing address

2295 Wildwood Rd
Mifflinburg, PA 17844-8249
Phone (570) 524-0909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120302000646 PA Part B Supplier - Clinic/Group Practice 0840459228 Receives reassigned benefits from 1 practitioner
Practice locations: Mifflinburg, PA

National Provider Directory

National Provider Directory

Locations

115 Farley Cir
Ste 105
Lewisburg, PA 17837
Phone (570) 524-0909

Practitioners & affiliated clinicians

Practitioners 6

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": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1194010959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 WILDWOOD RD",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178448249",
            "telephone_number": "570-524-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 WILDWOOD RD",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178448249",
            "telephone_number": "570-524-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLSWORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SWEETSER",
        "authorized_official_first_name": "GENELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-898-0446",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mifflinburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.