Active NPI
Erin R Micco, MSW LSW
- Social Worker
- New Castle, PA
National Provider Identifier
1457597429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW126418
- Practice address
- 318 Highland Ave
New Castle, PA 16101-3626 - Phone
- (724) 654-9555
- Fax
- (724) 654-6766
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- 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 | SW126418 | PA | Primary |
Addresses
Primary practice location
318 Highland Ave
New Castle, PA 16101-3626
Mailing address
318 Highland Ave
New Castle, PA 16101-3626
Phone (724) 654-9555
Other names 1
- Erin R Wieseckel
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 |
|---|---|---|---|
| SW126418 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelus Psychological Services | Past | Accepting new patients | |
| Angelus Therapeutic Services Inc | Social Worker | 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.
-
- Community/Behavioral Health Agency
- New Castle, PA
- NPI 1639362304
-
- Clinical Social Worker
- New Castle, PA
- NPI 1205081254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1457597429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 HIGHLAND AVE",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161013626",
"telephone_number": "724-654-9555",
"fax_number": "724-654-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 HIGHLAND AVE",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161013626",
"telephone_number": "724-654-9555",
"fax_number": "724-654-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICCO",
"first_name": "ERIN",
"middle_name": "R",
"credential": "MSW LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW126418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "WIESECKEL",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.