Brandon Puglisi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021573 Issued in PA

Practice address

201 Lackawanna Ave Ste 316
Scranton, PA 18503-1953

Phone

(570) 766-0772

Fax

(570) 866-3518

NPI assigned

Dec 23, 2020

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Puglisi Counseling LLCGroup PAC ID 6507252327, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Puglisi Counseling LLC

  dba Brandon Puglisi, LCSW

  • Clinical Social Worker
  • Scranton, PA
  • NPI 1760140784
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1528655529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 WINFIELD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053415",
            "telephone_number": "570-766-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LACKAWANNA AVE STE 316",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031953",
            "telephone_number": "570-766-0772",
            "fax_number": "570-866-3518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2307 Winfield Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185053415",
            "country_code": "US",
            "telephone_number": "570-766-0772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGLISI",
        "first_name": "BRANDON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Pucilowski, PA-C
• Jerry Pudusseri, DO
• Christie Pugh, PH.D.
• Deborah Hurst Pugh, CRNA
• Puglisi Counseling LLC (Brandon Puglisi, LCSW)
• Stanley G Pugsley, M.D.
• Cyril Puhalla, MD
• Bradley Puko
• Pulmonary and Critical Care Specialists of Pennsylvania PC
• Carissa Nicole Pupo

• Clinical Social Worker in Scranton, PA
• Providers in Scranton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.

Verify at the official NPI Registry.