Mara McLaughlin-Gombeda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018422 Issued in PA

Practice address

223 W Broad St
Hazleton, PA 18201-6201

Phone

(570) 455-9902

Fax

(570) 455-9452

NPI assigned

Aug 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thinking It Through PC

  • Adolescent and Children Mental Health Clinic/Center
  • Hazleton, PA
  • NPI 1083177349
  Medicare reassignment NPD Authorized official
• Pathway to Recovery Counseling & Educational Services

  • Addiction (Substance Use Disorder) Counselor
  • Hazleton, PA
  • NPI 1609889351
  NPD (past)
• Radiation Medicine Associates of Hazleton PC

  • Radiation Oncology Physician
  • Hazleton, PA
  • NPI 1477512028
  NPD (past)

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1669848446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WEST BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-455-9902",
            "fax_number": "570-455-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016201",
            "telephone_number": "570-455-9902",
            "fax_number": "570-455-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN-GOMBEDA",
        "first_name": "MARA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D. Mathason, DO
• Heather L Matisak, PTA
• Lynne Ann Mayo, PSY.D.
• Lauren Ann McGill, LMFT
• Daniel Patrick McHugh, DO
• McNelis Home Care Company Inc.
• MD Enterprises LLC
• Med Stat Ambulance LP
• Kaitlyn Meighan, PA
• Carlos R Mejia

• Clinical Social Worker in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.

Verify at the official NPI Registry.