Organization Active NPI

Kimberly Pisarcik, LCSW Therapy, LLC

  • Clinical Social Worker
  • Dallas, PA
National Provider Identifier
1255881405
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KIMBERLY PISARCIK, LCSW THERAPY, LLC
Practice address
1 Tarleton Ave
Suite 3
Dallas, PA 18612-1248
Phone
(570) 310-1214
Fax
(570) 310-1214
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Kimberly Pisarcik, LCSWNPI 1710283304
Title
Therapist
Phone
(570) 310-1214

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 SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1 Tarleton Ave
Suite 3
Dallas, PA 18612-1248

Mailing address

1 Tarleton Ave
Suite 3
Dallas, PA 18612-1248
Phone (570) 310-1214

National Provider Directory

National Provider Directory

Locations

1 Tarleton Ave
Ste 3
Dallas, PA 18612
Phone (570) 310-1214

Practitioners & affiliated clinicians

Practitioners 1

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": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1255881405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TARLETON AVE",
            "address_2": "SUITE 3",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121248",
            "telephone_number": "570-310-1214",
            "fax_number": "570-310-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TARLETON AVE",
            "address_2": "SUITE 3",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121248",
            "telephone_number": "570-310-1214",
            "fax_number": "570-310-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY PISARCIK, LCSW THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "PISARCIK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "570-310-1214",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.