Individual provider Active NPI

Sara L Grier, LCSW, CCTP

  • Clinical Social Worker
  • Shickshinny, PA
National Provider Identifier
1427499243
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW 018004 Issued in PA
Practice address
329 Main Rd
Shickshinny, PA 18655-4022
Phone
(570) 903-3497
NPI assigned
Jul 9, 2013
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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 CW 018004 PA Primary

Addresses

Primary practice location

329 Main Rd
Shickshinny, PA 18655-4022

Mailing address

329 Main Rd
Shickshinny, PA 18655-4022
Phone (570) 903-3497

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
I20140417001209 PA Practitioner - Clinical Social Worker 1850523234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John G Kuna Psy D and Associates LLCGroup PAC ID 5890950281, 24 clinicians

Practice addresses (Care Compare)

1011 Pennsylvania Ave
Matamoras, PA 18336-1713
Phone (570) 961-3361

189 Market St
Kingston, PA 18704-5400
Phone (570) 961-3361

327 N Washington Ave
Suite 104
Scranton, PA 18503-1511
Phone (570) 961-3361

4101 Birney Ave
Moosic, PA 18507-1323
Phone (570) 961-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW 018004PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John G Kuna Psy D & Associates LLC CurrentSince Jan 30, 2014 Accepting new patients

Locations

1011 Pennsylvania Ave
Matamoras, PA 18336
Phone (570) 491-4728

4101 Birney Ave
Moosic, PA 18507
Phone (507) 961-3361

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1427499243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAIN RD",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186554022",
            "telephone_number": "570-903-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAIN RD",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186554022",
            "telephone_number": "570-903-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIER",
        "first_name": "SARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW 018004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shickshinny, PA

Sources for this page

Verify at the official NPI Registry.