Matthew Semanision

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019316 Issued in PA

Practice address

330 Bowman St
Unit 1
Wilkes Barre, PA 18702-5448

Phone

(570) 823-5808

Fax

(570) 970-2725

NPI assigned

Jul 22, 2014

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wyoming Valley AIDS Council

  • Infectious Disease Physician
  • Wilkes Barre, PA
  • NPI 1588080824

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1598172553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WARD ST",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341811",
            "telephone_number": "570-650-6531",
            "fax_number": "570-970-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BOWMAN ST",
            "address_2": "UNIT 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025448",
            "telephone_number": "570-823-5808",
            "fax_number": "570-970-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 E Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hazleton",
            "state": "PA",
            "postal_code": "182015695",
            "country_code": "US",
            "telephone_number": "570-459-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Kim Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tunkhannock",
            "state": "PA",
            "postal_code": "186579101",
            "country_code": "US",
            "telephone_number": "570-996-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMANISION",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029502370001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wvacinc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "330 Bowman St",
            "address_2": "Unit 1",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187025448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Ann Seitzinger, PHARMD
• Philip Edward Sekunda, PA-C
• Blake Sellers
• Ryan Seltzer, CRNP
• Joseph Semanek, BS
• Senior Care Centers of Pennsylvania, Inc. (Active Day of Plains)
• Joshua Senter
• Natalie Senter, MD
• Frank Serino, MS PT, DPT
• Liana Sessa

• Clinical Social Worker in Wilkes Barre, PA
• Providers in Wilkes Barre, 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 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.