Individual provider Active NPI

Joanne L Fossett, LCSW

  • Social Worker
  • East Stroudsburg, PA
National Provider Identifier
1700982097
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW000272E Issued in PA
Practice address
1 Washington St
East Stroudsburg, PA 18301-2816
Phone
(570) 426-7150
Fax
(570) 426-9484
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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 SW000272E PA Primary

Addresses

Primary practice location

1 Washington St
East Stroudsburg, PA 18301-2816

Mailing address

1 Washington St
East Stroudsburg, PA 18301-2816
Phone (570) 426-7150

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070206000422 PA Practitioner - Clinical Social Worker 9739181645 Practice locations: Stroudsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7164 Route 209
Stroudsburg, PA 18360-7108
Phone (570) 242-2411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW000272EPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beutiful Mind Counseling Services, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1700982097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012816",
            "telephone_number": "570-426-7150",
            "fax_number": "570-426-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012816",
            "telephone_number": "570-426-7150",
            "fax_number": "570-426-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSETT",
        "first_name": "JOANNE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW000272E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.