Active NPI
Jessica Demi, LSW
- Social Worker
- Newport, PA
National Provider Identifier
1366815979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW133008
- Practice address
- 38 N 2ND St
Newport, PA 17074-1501 - Phone
- (717) 567-3524
- Fax
- (717) 567-3581
- NPI assigned
- Nov 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | SW133008 | PA | Primary |
Addresses
Primary practice location
38 N 2ND St
Newport, PA 17074-1501
Mailing address
20 S Mann Ave
Yeagertown, PA 17099-9662
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 |
|---|---|---|---|
| SW133008 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1366815979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S MANN AVE",
"city": "YEAGERTOWN",
"state": "PA",
"postal_code": "170999662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 N 2ND ST",
"city": "NEWPORT",
"state": "PA",
"postal_code": "170741501",
"telephone_number": "717-567-3524",
"fax_number": "717-567-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMI",
"first_name": "JESSICA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.