Individual provider Active NPI

Lisa Sicilia-Macrina

  • Social Worker
  • Abington, PA
National Provider Identifier
1790111417
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW123761 Issued in PA
Practice address
1355 Old York Rd
Suite 302
Abington, PA 19001-3413
Phone
(215) 906-7207
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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 SW123761 PA Primary

Addresses

Primary practice location

1355 Old York Rd
Suite 302
Abington, PA 19001-3413

Mailing address

1355 Old York Rd
Suite 302
Abington, PA 19001-3413
Phone (215) 906-7207

Other names 1

  • Ms. Lisa Sicilia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW123761PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1790111417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 OLD YORK RD",
            "address_2": "SUITE 302",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013413",
            "telephone_number": "215-906-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 OLD YORK RD",
            "address_2": "SUITE 302",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013413",
            "telephone_number": "215-906-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICILIA-MACRINA",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW123761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SICILIA",
            "prefix": "MS.",
            "credential": "LSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.