Organization Active NPI

Where the Sidewalk Ends, LLC

  • Clinical Social Worker
  • Saint Marys, PA
National Provider Identifier
1609088608
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHERE THE SIDEWALK ENDS, LLC
Practice address
105 North Michael St. Suite 101
Saint Marys, PA 15857-1327
Phone
(814) 834-4016
Fax
(814) 834-1309
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Dr. Sharon Marie Zaffarese-Dippold, PHD, LCSW-R, LCSW
Title
President
Phone
(814) 834-4016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

105 North Michael St. Suite 101
Saint Marys, PA 15857-1327

Mailing address

PO Box 783
Saint Marys, PA 15857-0783
Phone (814) 834-4016

National Provider Directory

National Provider Directory

Locations

462 W Church St
Elmira, NY 14901
Phone (607) 732-7321

20 N Michael St
Saint Marys, PA 15857
Phone (814) 303-2973

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1609088608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158570783",
            "telephone_number": "814-834-4016",
            "fax_number": "148-834-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTH MICHAEL ST. SUITE 101",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158571327",
            "telephone_number": "814-834-4016",
            "fax_number": "814-834-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHERE THE SIDEWALK ENDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "ZAFFARESE-DIPPOLD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-834-4016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW-R, LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.