Active NPI
Mary Ann Brislin, MSW
- Social Worker
- Mt Top, PA
National Provider Identifier
1831287465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CW003481L
- Practice address
- 3 Butler Oak Dr
Mt Top, PA 18707-9621 - Phone
- (570) 788-4691
- Fax
- (570) 788-4691
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | CW003481L | PA | Primary |
Addresses
Primary practice location
3 Butler Oak Dr
Mt Top, PA 18707-9621
Mailing address
3 Butler Oak Dr
Mt Top, PA 18707-9621
Phone (570) 788-4691
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111207000267 | PA | Practitioner - Clinical Social Worker | 6901071752 | Practice locations: Mountain Top, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Butler Oaks Dr
Mountain Top, PA 18707-9622
Phone (570) 788-4691
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW003481L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1831287465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BUTLER OAK DR",
"city": "MT TOP",
"state": "PA",
"postal_code": "187079621",
"telephone_number": "570-788-4691",
"fax_number": "570-788-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BUTLER OAK DR",
"city": "MT TOP",
"state": "PA",
"postal_code": "187079621",
"telephone_number": "570-788-4691",
"fax_number": "570-788-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISLIN",
"first_name": "MARY ANN",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW003481L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; 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.