Individual provider Active NPI

Rita Sahaya-Magnus, LCSW

  • Clinical Social Worker
  • Stroudsburg, PA
National Provider Identifier
1790761435
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW007549L Issued in PA
Practice address
134 Broad St
Stroudsburg, PA 18360-1590
Phone
(570) 420-8070
Fax
(570) 424-6487
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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 CW007549L PA Primary

Addresses

Primary practice location

134 Broad St
Stroudsburg, PA 18360-1590

Mailing address

134 Broad St
Stroudsburg, PA 18360-1590
Phone (570) 992-0624

Other identifiers 1

IdentifierTypeStateIssuer
2192544OtherPACIGNA BEHAVIORAL HEALTH

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
I20120405000547 PA Practitioner - Clinical Social Worker 2860653516 Practice locations: Stroudsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

134 Broad St
Suite 1
Stroudsburg, PA 18360-1590
Phone (570) 992-0624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW007549LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1790761435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BROAD ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601590",
            "telephone_number": "570-992-0624",
            "fax_number": "570-992-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BROAD ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601590",
            "telephone_number": "570-420-8070",
            "fax_number": "570-424-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAYA-MAGNUS",
        "first_name": "RITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW007549L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2192544",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.