Individual provider Active NPI

Rebecca M Suglia, LSW

  • Social Worker
  • Shoemakersville, PA
National Provider Identifier
1275885956
Registry record updated Jan 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW128590 Issued in PA
Practice address
1383 Pottsville Pike
Shoemakersville, PA 19555-1721
Phone
(570) 581-0216
Fax
(484) 575-9213
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW128590 PA Primary

Addresses

Primary practice location

1383 Pottsville Pike
Shoemakersville, PA 19555-1721

Mailing address

1383 Pottsville Pike
Shoemakersville, PA 19555-1721
Phone (570) 581-0216

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
I20170927002826 PA Practitioner - Clinical Social Worker 1557635653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

24 N Franklin St
Fleetwood, PA 19522-1408
Phone (610) 541-2309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW128590PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Concern-Professional Services for Children, Youth & Families CurrentSince Aug 17, 2017 Accepting new patients
Concern-Professional Services for Children, Youth & Families Current Accepting new patients
Concern-Professional Services for Children, Youth & Families CurrentSince Aug 17, 2017 Accepting new patients
Concern-Professional Services for Children, Youth & Families Past Accepting new patients
Concern-Professional Services for Children, Youth & Families PastSince Aug 17, 2017 Accepting new patients
Concern-Professional Service for Children, Youth & Families Past Accepting new patients

Locations

90 S Commerce Way
Ste 300
Bethlehem, PA 18017
Phone (610) 691-0647

1 W Main St
Fleetwood, PA 19522

63 3rd St
Ste 103
Mansfield, PA 16933
Phone (570) 622-7600

62 Plaza Ln
Wellsboro, PA 16901
Phone (570) 724-7142

Organizations & group practices 6

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": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483228800000",
    "number": "1275885956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 POTTSVILLE PIKE",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195551721",
            "telephone_number": "570-581-0216",
            "fax_number": "484-575-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 POTTSVILLE PIKE",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195551721",
            "telephone_number": "570-581-0216",
            "fax_number": "484-575-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGLIA",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2017-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoemakersville, PA

Sources for this page

Verify at the official NPI Registry.