Active NPI
Geraldine Lynn Butler
- Social Worker
- West Pittston, PA
National Provider Identifier
1699495507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 139577
- Practice address
- 16 Luzerne Ave
West Pittston, PA 18643-2817 - Phone
- (570) 961-3361
- NPI assigned
- Aug 31, 2022
- 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 | 139577 | PA | Primary |
Addresses
Primary practice location
16 Luzerne Ave
West Pittston, PA 18643-2817
Mailing address
308 Delaware Ave
West Pittston, PA 18643-2104
Phone (570) 407-1430
Other practice location 1
308 Delaware Ave
West Pittston, PA 18643-2104
Phone (570) 407-1430
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
| License | State | Type | Specialty |
|---|---|---|---|
| 139577 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John G Kuna Psy D & Associates LLC | Current | Accepting new patients |
Locations
16 Luzerne Ave
West Pittston, PA 18643
Organizations & group practices 1
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.
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- Moosic, PA
- NPI 1487936654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1699495507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 DELAWARE AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186432104",
"telephone_number": "570-407-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 LUZERNE AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186432817",
"telephone_number": "570-961-3361"
}
],
"practiceLocations": [
{
"address_1": "308 Delaware Ave",
"address_purpose": "LOCATION",
"city": "West Pittston",
"state": "PA",
"postal_code": "186432104",
"country_code": "US",
"telephone_number": "570-407-1430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "GERALDINE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "139577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.