Active NPI
Laura Decosmo, LSW
- Social Worker
- Nanticoke, PA
National Provider Identifier
1609078401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW011837L
- Practice address
- 130 W Washington St
Nanticoke, PA 18634-3113 - Phone
- (570) 735-7590
- NPI assigned
- Jun 4, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW011837L | PA | Primary |
Addresses
Primary practice location
130 W Washington St
Nanticoke, PA 18634-3113
Mailing address
156 Shoemaker St
Swoyersville, PA 18704-3024
Phone (570) 331-7238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW011837L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609078401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 SHOEMAKER ST",
"city": "SWOYERSVILLE",
"state": "PA",
"postal_code": "187043024",
"telephone_number": "570-331-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W WASHINGTON ST",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186343113",
"telephone_number": "570-735-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOSMO",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW011837L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanticoke, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.