Individual provider Active NPI

Sarah Pettinato

  • Clinical Social Worker
  • Jermyn, PA
National Provider Identifier
1669915302
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019880 Issued in PA
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

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
SW132188PAMDCounselor

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.