Individual provider Active NPI

Edward A Pane, CSW

  • Social Worker
  • Hazleton, PA
National Provider Identifier
1649612805
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW129221 Issued in PA
Practice address
8 W Broad St
Suite 308
Hazleton, PA 18201-6424
Phone
(570) 436-7022
Fax
(580) 534-0997
NPI assigned
Jul 29, 2013
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129221 PA Primary

Addresses

Primary practice location

8 W Broad St
Suite 308
Hazleton, PA 18201-6424

Mailing address

8 W Broad St Ste 308
Hazleton, PA 18201-6427
Phone (570) 436-7022

Other identifiers 2

IdentifierTypeStateIssuer
SW129221OtherPASOCIAL WORKER
0231OtherPACERTIFIED ADVANCED ALCOHOL AND DRUG COUNSELOR

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
I20180711000296 PA Practitioner - Clinical Social Worker 4587910245 Practice locations: Hazleton, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 W Broad St
308 Pane Counseling Consulting and Educatio
Hazleton, PA 18201-6427
Phone (570) 436-7022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW129221PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pane Consulting and Education PastSince Jun 2, 2018 Accepting new patients

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, 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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1649612805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W BROAD ST STE 308",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016427",
            "telephone_number": "570-436-7022",
            "fax_number": "570-534-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W BROAD ST",
            "address_2": "SUITE 308",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016424",
            "telephone_number": "570-436-7022",
            "fax_number": "580-534-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANE",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "SW129221",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ADVANCED ALCOHOL AND DRUG COUNSELOR",
            "identifier": "0231",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.