Active NPI
Jessica Nabozny, LSW
- Social Worker
- Huntingdon, PA
National Provider Identifier
1659961332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW134795
- Practice address
- 620 Washington St
Huntingdon, PA 16652-1722 - Phone
- (814) 643-0309
- Fax
- (814) 643-5502
- NPI assigned
- Jan 26, 2021
- 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 | SW134795 | PA | Primary |
Addresses
Primary practice location
620 Washington St
Huntingdon, PA 16652-1722
Mailing address
PO Box 319
Bigler, PA 16825-0319
Phone (814) 342-5678
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW134795 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1659961332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 319",
"city": "BIGLER",
"state": "PA",
"postal_code": "168250319",
"telephone_number": "814-342-5678",
"fax_number": "814-342-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 WASHINGTON ST",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "166521722",
"telephone_number": "814-643-0309",
"fax_number": "814-643-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABOZNY",
"first_name": "JESSICA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW134795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingdon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.