Individual provider Active NPI

Gena Panatieri, LCSW

  • Clinical Social Worker
  • Hanover Township, PA
National Provider Identifier
1740931971
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022412 Issued in PA
Practice address
299 Lyndwood Ave Apt 4
Hanover Township, PA 18706-1300
Phone
(570) 790-9699
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108086 TX
Clinical Social Worker 1041C0700X CW022412 PA Primary

Addresses

Primary practice location

299 Lyndwood Ave Apt 4
Hanover Township, PA 18706-1300

Mailing address

299 Lyndwood Ave Apt 4
Hanover Township, PA 18706-1300
Phone (157) 079-0969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220805001548 TX Practitioner - Clinical Social Worker 8022490192 Reassigns benefits to 4 organizations
I20230818002089 PA Practitioner - Clinical Social Worker 8022490192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care LLCGroup PAC ID 7719126655, 67 clinicians

Practice addresses (Care Compare)

16 S River St
Wilkes Barre, PA 18702-2406
Phone (570) 790-9699

2810 Riverby Rd
Apt 446
Houston, TX 77020-2069
Phone (570) 790-9699

501 Yates St
Mount Vernon, TX 75457-3233
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
80
Improvement activities
40
Cost
66.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108086TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Renu Mental Wellness Group Clinical CurrentSince Feb 1, 2023 Accepting new patients
Bliss Advanced Clinical Solutions, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Supportive Care LLC CurrentSince Jul 1, 2022 Accepting new patients
A New Today CurrentSince Mar 30, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

16 S River St
Wilkes Barre, PA 18702
Phone (570) 790-9699

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

345 Country Club Dr
Caldwell, TX 77836
Phone (979) 567-4300

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

501 Yates St
Mt Vernon, TX 75457
Phone (903) 537-4424

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Organizations & group practices 4

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1740931971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LYNDWOOD AVE APT 4",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187061300",
            "telephone_number": "157-079-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 LYNDWOOD AVE APT 4",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187061300",
            "telephone_number": "570-790-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANATIERI",
        "first_name": "GENA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Township, PA

Sources for this page

Verify at the official NPI Registry.