Individual provider Active NPI

Lynne J. Opsasnick, B.S., MSW, LCSW

  • Clinical Social Worker
  • Moosic, PA
National Provider Identifier
1720252885
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW124011 Issued in PA
Practice address
4113 Birney Ave
Moosic, PA 18507-1301
Phone
(570) 815-3823
NPI assigned
Apr 18, 2008
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW124011 PA Primary

Addresses

Primary practice location

4113 Birney Ave
Moosic, PA 18507-1301

Mailing address

1415 Penn Ave
Scranton, PA 18509-2325

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
I20260327004104 PA Practitioner - Clinical Social Worker 6002391968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1415 Penn Ave
Scranton, PA 18509-2325

501 S Washington Ave
Suite 1000
Scranton, PA 18505-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
SW124011PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Therapeutic Wellness Center Clinical CurrentSince Aug 25, 2025 Accepting new patients

Locations

4113 Birney Ave
Moosic, PA 18507
Phone (570) 330-0300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1720252885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 BIRNEY AVE",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071301",
            "telephone_number": "570-815-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPSASNICK",
        "first_name": "LYNNE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "B.S., MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW124011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moosic, PA

Sources for this page

Verify at the official NPI Registry.