Active NPI
Kristina Bishop
- Social Worker
- Dunmore, PA
National Provider Identifier
1639619513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW133630
- Practice address
- 502 N Blakely St
Dunmore, PA 18512-1943 - Phone
- (570) 983-2872
- Fax
- (570) 291-4960
- NPI assigned
- Feb 27, 2017
- Sex
- Female
- Sole proprietor
- No
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 | SW133630 | PA | Primary |
Addresses
Primary practice location
502 N Blakely St
Dunmore, PA 18512-1943
Mailing address
626 Ohara St
Scranton, PA 18505-3308
Phone (570) 687-5498
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
329 Cherry St
Scranton, PA 18505-1505
Phone (570) 348-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW133630 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scranton Counseling Center | Current | Accepting new patients |
Locations
1141 Clay Ave
Ste 2
Scranton, PA 18510
Phone (570) 207-7919
329 Cherry St
Scranton, PA 18505
Phone (570) 348-6100
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Scranton, PA
- NPI 1629005764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1639619513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 OHARA ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053308",
"telephone_number": "570-687-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 N BLAKELY ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185121943",
"telephone_number": "570-983-2872",
"fax_number": "570-291-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.