Individual provider Active NPI

Deanna Joy Fish-Layton, LCSW

  • Clinical Social Worker
  • Mansfield, PA
National Provider Identifier
1497007462
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW007005L Issued in PA
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

Updated by the provider on Oct 15, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Northern Tier Counseling, Inc.Group PAC ID 7113997354, 7 clinicians

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

LicenseStateTypeSpecialty
CW007005LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Tier Counseling, Inc. CurrentSince Mar 1, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.