Individual provider Active NPI

Sinead O'Hare, LCSW

  • Clinical Social Worker
  • Carbondale, PA
National Provider Identifier
1235524067
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
41 N Main St
Carbondale, PA 18407-2357
Phone
(570) 447-1052
Fax
(570) 961-3364
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 12648 FL
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

41 N Main St
Carbondale, PA 18407-2357

Mailing address

1030 Green Holly Rd
South Abington Township, PA 18411-9458
Phone (352) 702-1336

Other practice location 1

215 N 3rd St
Leesburg, FL 34748-5105
Phone (352) 315-7900

Other practice location 2

1801 Main St
Blakely, PA 18447-1365
Phone (570) 447-1052

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
I20210520001400 PA Practitioner - Clinical Social Worker 8325369028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Within Counseling and Psychotherapy PLLCGroup PAC ID 5092114223, 2 clinicians

Practice addresses (Care Compare)

315 Davis St
Clarks Summit, PA 18411-1835
Phone (570) 536-0961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 12648FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Within Counseling & Psychotherapy PLLC CurrentSince Jun 11, 2021 Accepting new patients

Locations

315 Davis St
Clarks Summit, PA 18411
Phone (570) 536-0961

Organizations & group practices 1

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1235524067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 GREEN HOLLY RD",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184119458",
            "telephone_number": "352-702-1336",
            "fax_number": "352-315-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N MAIN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072357",
            "telephone_number": "570-447-1052",
            "fax_number": "570-961-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485105",
            "country_code": "US",
            "telephone_number": "352-315-7900",
            "fax_number": "352-315-7857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Main St",
            "address_purpose": "LOCATION",
            "city": "Blakely",
            "state": "PA",
            "postal_code": "184471365",
            "country_code": "US",
            "telephone_number": "570-447-1052",
            "fax_number": "570-961-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "SINEAD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.