Individual provider Active NPI

Elizabeth S McEwan, MSW LSW

  • Social Worker
  • Wilkes Barre, PA
National Provider Identifier
1679537039
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
JW009805L Issued in PA
Practice address
33 E Northampton St
Wilkes Barre, PA 18701-2406
Phone
(570) 836-1101
Fax
(570) 836-3765
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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 JW009805L PA Primary

Addresses

Primary practice location

33 E Northampton St
Wilkes Barre, PA 18701-2406

Mailing address

33 East Northampton Street
Wilkes Barre, PA 18701-2492
Phone (570) 822-7118

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
JW009805LPAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1679537039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 EAST NORTHAMPTON STREET",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187012492",
            "telephone_number": "570-822-7118",
            "fax_number": "570-829-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E NORTHAMPTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187012406",
            "telephone_number": "570-836-1101",
            "fax_number": "570-836-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWAN",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSW LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "JW009805L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.