Individual provider Active NPI

Jason Alan Schiffhauer, LSW

  • Social Worker
  • Johnstown, PA
National Provider Identifier
1467748699
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW126941 Issued in PA
Practice address
636 Scalp Ave
Johnstown, PA 15904-1640
Phone
(814) 262-0007
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW126941 PA Primary

Addresses

Primary practice location

636 Scalp Ave
Johnstown, PA 15904-1640

Mailing address

36 Wyoming St
Johnstown, PA 15905-2255
Phone (814) 248-0220

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

LicenseStateTypeSpecialty
SW126941PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Family Services, Inc. Past Accepting new patients
Independent Family Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1467748699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WYOMING ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052255",
            "telephone_number": "814-248-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041640",
            "telephone_number": "814-262-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFHAUER",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.