Individual provider Active NPI

Victor John Manocchio II, LCSW

  • Clinical Social Worker
  • Tunkhannock, PA
National Provider Identifier
1487828554
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6 Sunnyside Rd
Tunkhannock, PA 18657-6950
Phone
(570) 836-7777
Fax
(570) 836-7479
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 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 Primary

Addresses

Primary practice location

6 Sunnyside Rd
Tunkhannock, PA 18657-6950

Mailing address

6 Sunnyside Rd
Tunkhannock, PA 18657-6950
Phone (570) 836-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120402000283 PA Practitioner - Clinical Social Worker 8527228378 Reassigns benefits to 1 organization
Practice locations: Tunkhannock, PA
I20220228000437 NY Practitioner - Clinical Social Worker 8527228378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Sunnyside Rd
Tunkhannock, PA 18657-6950
Phone (570) 836-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 14, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 14, 2019 Accepting new patients
Four Winds Acupuncture Clinic and Integrative Therapies, PC Clinical Current Accepting new patients
Merakey Pennsylvania Past Accepting new patients

Locations

1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 6

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1487828554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SUNNYSIDE RD",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186576950",
            "telephone_number": "570-836-7777",
            "fax_number": "570-836-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SUNNYSIDE RD",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186576950",
            "telephone_number": "570-836-7777",
            "fax_number": "570-836-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOCCHIO",
        "first_name": "VICTOR",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

Verify at the official NPI Registry.