Individual provider Active NPI

John Sgroi, MSSA, LISW-S, LCSW

  • Clinical Social Worker
  • Elizabethtown, KY
National Provider Identifier
1861582074
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3686 Issued in KY
Practice address
1311 N Dixie Ave
Communicare - Manager Act
Elizabethtown, KY 42701-2621
Phone
(270) 769-5301
NPI assigned
Oct 16, 2006
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 0009889 OH
Clinical Social Worker 1041C0700X 3686 KY Primary

Addresses

Primary practice location

1311 N Dixie Ave
Communicare - Manager Act
Elizabethtown, KY 42701-2621

Mailing address

1311 N Dixie Ave
Elizabethtown, KY 42701-2621
Phone (270) 769-5301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160209002407 KY Practitioner - Clinical Social Worker 6305140534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0009889OHMDClinical Social Worker
3686KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communicare Inc Current Accepting new patients

Locations

107 Cranes Roost Ct
Elizabethtown, KY 42701
Phone (270) 765-2650

1311 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0419

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1861582074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012621",
            "telephone_number": "270-769-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N DIXIE AVE",
            "address_2": "COMMUNICARE - MANAGER ACT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012621",
            "telephone_number": "270-769-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGROI",
        "first_name": "JOHN",
        "credential": "MSSA, LISW-S, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0009889",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.