Individual provider Active NPI

Sarah Bodnar, LCSW

  • Clinical Social Worker
  • Scranton, PA
National Provider Identifier
1639595218
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019795 Issued in PA
Practice address
631 Cedar Ave
Scranton, PA 18505-1211
Phone
(570) 346-6203
Fax
(570) 346-3060
NPI assigned
Mar 6, 2014
Last updated
Apr 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129907 PA
Clinical Social Worker 1041C0700X CW019795 PA Primary

Addresses

Primary practice location

631 Cedar Ave
Scranton, PA 18505-1211

Mailing address

631 Cedar Ave
Scranton, PA 18505-1211
Phone (570) 346-6203

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
I20180509001215 PA Practitioner - Clinical Social Worker 0840554325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW129907PAMDSocial Worker
CW019795PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Neighborhood Centers of Northeastern Pennsylvania Social Worker Current Accepting new patients

Locations

425 Alder St
Ste 2A
Scranton, PA 18505

425 Alder St
Unit 2
Scranton, PA 18505
Phone (570) 880-7130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1639595218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CEDAR AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051211",
            "telephone_number": "570-346-6203",
            "fax_number": "570-346-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CEDAR AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051211",
            "telephone_number": "570-346-6203",
            "fax_number": "570-346-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.