Individual provider Active NPI

Lydia Maria Sacavage, L.S.W.

  • Social Worker
  • Mechanicsburg, PA
National Provider Identifier
1801196290
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
127517 Issued in PA
Practice address
6370 Creekbend Dr
Mechanicsburg, PA 17050-4000
Phone
(570) 274-9100
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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 127517 PA Primary

Addresses

Primary practice location

6370 Creekbend Dr
Mechanicsburg, PA 17050-4000

Mailing address

6370 Creekbend Dr
Mechanicsburg, PA 17050-4000
Phone (570) 274-9100

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
127517PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1801196290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 CREEKBEND DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170504000",
            "telephone_number": "570-274-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 CREEKBEND DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170504000",
            "telephone_number": "570-274-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACAVAGE",
        "first_name": "LYDIA",
        "middle_name": "MARIA",
        "credential": "L.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "127517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.