Denise Marie Namowicz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012048 Issued in PA

Practice address

562 Wyoming Ave
Kingston, PA 18704-3721

Phone

(570) 552-3767

Fax

(570) 552-3765

NPI assigned

Jun 11, 2006

Last updated

Oct 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Children's Service Center of Wyoming Valley, Inc

  • Counselor
  • Wilkes Barre, PA
  • NPI 1700861242

  Clinical

  NPD
• Wilkes-Barre Behavioral Hospital Company LLC

  • Psychiatry Physician
  • Kingston, PA
  • NPI 1427292622

  Clinical

  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1245272848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W UNION ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342140",
            "telephone_number": "570-735-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043721",
            "telephone_number": "570-552-3767",
            "fax_number": "570-552-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMOWICZ",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "800012313",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023216260001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "62-00587",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Diane Mushak, PA-C
• My Choice Adult Day Center
• My Vive Health and Fitness Inc
• Christian James Myers, DPT
• Frederick Myers
• Gary Mark Nataupsky, DMD
• Jason Gordon Nataupsky, D.M.D.
• Jessica K Natividad, CRNP-FH
• Atma Prakash Nayak, MD
• Carolyn Nebraski, RVT

• Clinical Social Worker in Kingston, PA
• Providers in Kingston, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.