Dina Cervasio, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW134765 Issued in PA

Practice address

1300 N 5TH St Ste 102
Stroudsburg, PA 18360-2609

Phone

(704) 245-1005

Fax

(570) 730-4214

NPI assigned

Mar 3, 2020

Last updated

Mar 3, 2020By 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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Connections Counseling Services, LLC

  • Clinical Social Worker
  • Stroudsburg, PA
  • NPI 1225454481
  Medicare reassignment NPD

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1730713413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 5TH ST STE 102",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602609",
            "telephone_number": "570-730-4211",
            "fax_number": "570-730-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 5TH ST STE 102",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602609",
            "telephone_number": "704-245-1005",
            "fax_number": "570-730-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVASIO",
        "first_name": "DINA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW134765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Ernest Cedeno, DO
• Center for Vision Loss
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Century Dental STR LLC
• Jacob Ryan Cerrillo
• Carley Chamberlin, M.S.. NCC, LPC
• Jyh-Hann Chang, PH.D.
• Kim Ann Chatha, LCSW
• Ahmad Chaudhry, DMD OMS
• Mohammad Azhar Chaudhry, M.D., F.C.C.P

• Mental Health Counselor in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.