Individual provider Active NPI

John S Sivley, MSW

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1275695405
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW009405L Issued in PA
Practice address
2151 Linglestown Rd Ste 200
Harrisburg, PA 17110-9453
Phone
(717) 540-1313
NPI assigned
Dec 14, 2006
Last updated
Sep 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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 CW009405L PA Primary

Addresses

Primary practice location

2151 Linglestown Rd Ste 200
Harrisburg, PA 17110-9453

Mailing address

2151 Linglestown Rd Ste 200
Harrisburg, PA 17110-9453
Phone (717) 540-1313

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
I20060130000179 PA Practitioner - Clinical Social Worker 5496769473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riegler Shienvold and AssociatesGroup PAC ID 3779568498, 2 clinicians

Practice addresses (Care Compare)

2151 Linglestown Rd
Suite 200
Harrisburg, PA 17110-9453
Phone (717) 540-1313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riegler Shienvold & Associates CurrentSince Aug 21, 2014 Accepting new patients

Locations

2151 Linglestown Rd
Ste 200
Harrisburg, PA 17110
Phone (717) 540-1313

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, 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1275695405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109453",
            "telephone_number": "717-540-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109453",
            "telephone_number": "717-540-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVLEY",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW009405L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.