Michele McDermott, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013362 Issued in PA

Practice address

1251 Wyoming Ave
Exeter, PA 18643-1434

Phone

(570) 654-4357

NPI assigned

Jan 3, 2013

Last updated

Jan 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

John G Kuna Psy D and Associates LLCGroup PAC ID 5890950281, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John G Kuna Psy D & Associates LLC

  • Clinical Psychologist
  • Moosic, PA
  • NPI 1487936654
  Medicare reassignment Care Compare group NPD
• Saxon Psychiatric Services P.C.

  • Psychiatry Physician
  • Kingston, PA
  • NPI 1861579203
  Medicare reassignment NPD
• Integrated Behavioral Health Services, LLC

  • Clinical Psychologist
  • Lafayette Hill, PA
  • NPI 1225782378
  NPD (past)
• Tiffany Griffiths Psy D & Associates Inc

  • Clinical Psychologist
  • Dunmore, PA
  • NPI 1649507831
  NPD (past)

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1710224290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-654-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-654-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Independent Living Inc.
• Luzerne County General Practice Associates LLC
• Sydney Elizabeth Maguire
• Maryellen Eva Marranca, D.C.
• Barbara Mazurkivich
• Ryan Paul McDonnell, D.M.D.
• Sharon J. McDonnell, MS, NCC, LPC
• Laura Mudlock, LAT, ATC, FD
• Suzanne Naples, OTRL
• Daniel Joseph Neal, COTA/L

• Clinical Social Worker in Exeter, PA
• Providers in Exeter, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.