Individual provider Active NPI

Patricia A Walsh, LCSW

  • Clinical Social Worker
  • Honesdale, PA
National Provider Identifier
1205995453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012650 Issued in PA
Practice address
403A Spinner Rd
Honesdale, PA 18431-7634
Phone
(570) 253-9323
Fax
(570) 253-6050
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW012650 PA Primary

Addresses

Primary practice location

403A Spinner Rd
Honesdale, PA 18431-7634

Mailing address

403A Spinner Rd
Honesdale, PA 18431-7634
Phone (570) 253-9323

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
I20070417000424 PA Practitioner - Clinical Social Worker 3678516143 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012650PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walsh Counseling and Consultation Services Clinical CurrentSince Jun 22, 2021 Accepting new patients
Wayne Memorial Hospital CurrentSince Feb 13, 2003 Accepting new patients
Psycare Solutions Inc Clinical CurrentSince Dec 31, 2019 Accepting new patients
Wayne Memorial Hospital CurrentSince Feb 13, 2003 Accepting new patients

Locations

8302 Old York Rd
Ste B12
Elkins Park, PA 19027
Phone (215) 885-9700

403A Spinner Rd
Honesdale, PA 18431
Phone (570) 253-1339

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205995453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403A SPINNER RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317634",
            "telephone_number": "570-253-9323",
            "fax_number": "570-253-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403A SPINNER RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317634",
            "telephone_number": "570-253-9323",
            "fax_number": "570-253-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.