Active NPI
Sarah Pettinato
- Clinical Social Worker
- Jermyn, PA
National Provider Identifier
1669915302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019880
- Practice address
- 5 S Washington Ave
Jermyn, PA 18433-1121 - Phone
- (570) 383-9934
- Fax
- (570) 230-0023
- NPI assigned
- Nov 29, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW132188 | PA | |
| Social Worker | 104100000X | SW132188 | PA | |
| Clinical Social Worker | 1041C0700X | CW019880 | PA | Primary |
Addresses
Primary practice location
5 S Washington Ave
Jermyn, PA 18433-1121
Mailing address
111 N Washington Ave FL 1
Scranton, PA 18503-1841
Phone (570) 343-2383
Other practice location 1
116 Depot St
Suite #2
Clarks Summit, PA 18411
Phone (570) 885-5723
Other practice location 2
454 Cemetery Rd
Hamlin, PA 18427
Phone (570) 885-5723
Other names 1
- Sarah Hasselback
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spettinato@thewrightcenter.medentdirect.com | Direct |
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 |
|---|---|---|---|
| SW132188 | PA | MD | Counselor |
Interoperability endpoints
- spettinato@thewrightcenter.medentdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1669915302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WASHINGTON AVE FL 1",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031841",
"telephone_number": "570-343-2383",
"fax_number": "570-343-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S WASHINGTON AVE",
"city": "JERMYN",
"state": "PA",
"postal_code": "184331121",
"telephone_number": "570-383-9934",
"fax_number": "570-230-0023"
}
],
"practiceLocations": [
{
"address_1": "116 Depot St",
"address_2": "Suite #2",
"address_purpose": "LOCATION",
"city": "Clarks Summit",
"state": "PA",
"postal_code": "18411",
"country_code": "US",
"telephone_number": "570-885-5723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "454 Cemetery Rd",
"address_purpose": "LOCATION",
"city": "Hamlin",
"state": "PA",
"postal_code": "18427",
"country_code": "US",
"telephone_number": "570-885-5723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETTINATO",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2021-02-15",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "SW132188",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW132188",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019880",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spettinato@thewrightcenter.medentdirect.com",
"affiliation": "N",
"endpointDescription": "HISP",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "5 S Washington Ave",
"city": "Jermyn",
"state": "PA",
"country_code": "US",
"postal_code": "184331121",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SARAH",
"last_name": "HASSELBACK",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jermyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.