Individual provider Active NPI

Leah Losavich

  • Clinical Social Worker
  • Scranton, PA
National Provider Identifier
1467946830
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019717 Issued in PA
Practice address
300 Mulberry St
Scranton, PA 18503-1225
Phone
(570) 209-8217
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X CW019717 PA Primary

Addresses

Primary practice location

300 Mulberry St
Scranton, PA 18503-1225

Mailing address

300 Mulberry St
Scranton, PA 18503-1225
Phone (570) 209-8217

Other practice location 1

60 Plank St
Pittston, PA 18640-1560
Phone (157) 094-7489

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
I20190412000560 PA Practitioner - Clinical Social Worker 0446591846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Counseling Services, PCGroup PAC ID 5698046357, 25 clinicians

Practice addresses (Care Compare)

300 Mulberry St
Suite 201
Scranton, PA 18503-1233
Phone (570) 955-5479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019717PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services, PC CurrentSince Mar 19, 2019 Accepting new patients

Locations

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

300 Mulberry St
Scranton, PA 18503
Phone (570) 565-9728

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1467946830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031225",
            "telephone_number": "570-209-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031225",
            "telephone_number": "570-209-8217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Plank St",
            "address_purpose": "LOCATION",
            "city": "Pittston",
            "state": "PA",
            "postal_code": "186401560",
            "country_code": "US",
            "telephone_number": "157-094-7489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOSAVICH",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.