Individual provider Active NPI

Lori Ann Villano, MSW, LCSW, CAADC

  • Clinical Social Worker
  • Dickson City, PA
National Provider Identifier
1447778808
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013061 Issued in PA
Practice address
650 Boulevard Avenue
Dickson City, PA 18519
Phone
(570) 383-2799
Fax
(570) 383-0063
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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 CW013061 PA Primary

Addresses

Primary practice location

650 Boulevard Avenue
Dickson City, PA 18519

Mailing address

650 Boulevard Avenue
Dickson City, PA 18519
Phone (570) 383-2799

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
I20171214000317 PA Practitioner - Clinical Social Worker 1456619741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turning Tides Psychological Services LLCGroup PAC ID 8426423005, 4 clinicians

Practice addresses (Care Compare)

650 Boulevard Ave
Dickson City, PA 18519-1710
Phone 57020998982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013061PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Tides Psychological Services, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

650 Boulevard Ave
Scranton, PA 18519
Phone (570) 209-9898

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1447778808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 BOULEVARD AVENUE",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "18519",
            "telephone_number": "570-383-2799",
            "fax_number": "570-383-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BOULEVARD AVENUE",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "18519",
            "telephone_number": "570-383-2799",
            "fax_number": "570-383-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANO",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.