Active NPI
Kris Nardi, LSW
- Social Worker
- Dallas, PA
National Provider Identifier
1346513702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW128501
- Practice address
- 1172 Twin Stacks Dr
Suite Box 427
Dallas, PA 18612-8505 - Phone
- (570) 674-1505
- Fax
- (570) 674-8679
- NPI assigned
- Feb 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW128501 | PA | Primary |
Addresses
Primary practice location
1172 Twin Stacks Dr
Suite Box 427
Dallas, PA 18612-8505
Mailing address
1172 Twin Stacks Dr
PO Box 427
Dallas, PA 18612-8505
Phone (570) 674-1505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW128501 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling & Consulting Specialists LLC | Past | Accepting new patients | |
| Safe Pathways Counseling Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Dallas, PA
- NPI 1245477975
-
- Mental Health Counselor
- Dallas, PA
- NPI 1548048903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1346513702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 TWIN STACKS DR",
"address_2": "PO BOX 427",
"city": "DALLAS",
"state": "PA",
"postal_code": "186128505",
"telephone_number": "570-674-1505",
"fax_number": "570-674-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 TWIN STACKS DR",
"address_2": "SUITE BOX 427",
"city": "DALLAS",
"state": "PA",
"postal_code": "186128505",
"telephone_number": "570-674-1505",
"fax_number": "570-674-8679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDI",
"first_name": "KRIS",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW128501",
"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 Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.