Active NPI
Deanna Joy Fish-Layton, LCSW
- Clinical Social Worker
- Mansfield, PA
National Provider Identifier
1497007462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW007005L
- Practice address
- 63 3Rd St
Mansfield, PA 16933-1262 - Phone
- (570) 662-7600
- Fax
- (570) 662-7726
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW007005L | PA | Primary |
Addresses
Primary practice location
63 3Rd St
Mansfield, PA 16933-1262
Mailing address
63 3Rd St
Mansfield, PA 16933-1262
Phone (570) 662-7600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130214000241 | PA | Practitioner - Clinical Social Worker | 5597919860 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24727 Route 6
Suite 2
Towanda, PA 18848-8257
Phone (570) 265-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW007005L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Tier Counseling, Inc. | Current | Accepting new patients | |
| Mental Health Associates of North Central PA | Past | Accepting new patients |
Locations
1550 S Main St
Mansfield, PA 16933
Phone (570) 662-7954
1550 S Main St
Ste 2
Mansfield, PA 16933
Phone (570) 662-7954
24727 Route 6
#2
Towanda, PA 18848
Phone (570) 265-0100
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/northerntiercounseling/r4/
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Towanda, PA
- NPI 1346267374
PA
-
- Clinic/Center
- Laporte, PA
- NPI 1891093001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1497007462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 3RD ST",
"city": "MANSFIELD",
"state": "PA",
"postal_code": "169331262",
"telephone_number": "570-662-7600",
"fax_number": "570-663-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 3RD ST",
"city": "MANSFIELD",
"state": "PA",
"postal_code": "169331262",
"telephone_number": "570-662-7600",
"fax_number": "570-662-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH-LAYTON",
"first_name": "DEANNA",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW007005L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.