Gennelle R Sweetser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013818 Issued in PA

Practice address

2295 Wildwood Rd
Mifflinburg, PA 17844-8249

Phone

(570) 524-0909

NPI assigned

Apr 2, 2007

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skillswork PC

  • Clinical Social Worker
  • Mifflinburg, PA
  • NPI 1194010959
  Medicare reassignment NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1811018658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 WILDWOOD RD",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178448249",
            "telephone_number": "570-898-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 WILDWOOD RD",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178448249",
            "telephone_number": "570-524-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETSER",
        "first_name": "GENNELLE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared N Smith, DO
• Sharon Randa Smith
• Snyder,Union,Mifflin Child Development,Inc
• Zachary Soohy, LPC
• Sun Orthopaedic Group
• Rebekah Ellen Tanner, MD
• Through the Mill Counseling, Inc.
• Terry A Trutt, R. PH.
• Trutt's Pharmacy LLC
• Trutt's Pharmacy LLC

• Clinical Social Worker in Mifflinburg, PA
• Providers in Mifflinburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.