Selene Scavitto

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW131109 Issued in PA

Practice address

5021 E Trindle Rd
Mechanicsburg, PA 17050-3528

Phone

(717) 406-5190

NPI assigned

Apr 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Selene Scavitto Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1366904336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 TODD LN",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846748",
            "telephone_number": "717-406-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503528",
            "telephone_number": "717-406-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAVITTO",
        "first_name": "SELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW131109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LGSW LICENSE",
            "identifier": "SW131109",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.woods@northeasterncs.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "5021 E Trindle Rd",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170503528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SELENE",
            "last_name": "SCAVITTO",
            "credential": "LGSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Visalsambath Sao, RPH
• Nitarah Kalishka Satyamurthy, LPC, NCC
• Kevin D Sauers, PT
• Raymond Stephen Savko, O.D.
• Binar Aziz Sayed, CRNP
• Emma Reagan Schaedler
• Gloria Ann Schaeffer, CRNP
• Kimberly A Schlaline, LSW
• Tanner Schlater
• Adam J Schlemmer, PA-C

• Clinical Social Worker in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.