Active NPI
Carol Michele Fong, M.S.W., L.I.S.W.
- Social Worker
- Butler, PA
National Provider Identifier
1811003643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00009315
- Practice address
- 325 New Castle Rd
Butler, PA 16001-2418 - Phone
- (724) 496-2339
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00009315 | OH | Primary |
Addresses
Primary practice location
325 New Castle Rd
Butler, PA 16001-2418
Mailing address
325 New Castle Rd
Butler, PA 16001-2418
Phone (724) 496-2339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009315 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1811003643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 NEW CASTLE RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012418",
"telephone_number": "724-496-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NEW CASTLE RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012418",
"telephone_number": "724-496-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "CAROL",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "M.S.W., L.I.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "00009315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.