Individual provider Active NPI

Renea Hammerman, LSW

  • Counselor
  • Jermyn, PA
National Provider Identifier
1861936858
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SW125218 Issued in PA
Practice address
5 S Washington Ave
Jermyn, PA 18433-1121
Phone
(570) 383-9934
Fax
(570) 343-3934
NPI assigned
Dec 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SW125218 PA Primary

Addresses

Primary practice location

5 S Washington Ave
Jermyn, PA 18433-1121

Mailing address

501 Madison Ave
Scranton, PA 18510-2401
Phone (570) 343-2383

Other identifiers 1

IdentifierTypeStateIssuer
SW125218OtherPAPA LICENSE

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
SW125218PAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1861936858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102401",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S WASHINGTON AVE",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184331121",
            "telephone_number": "570-383-9934",
            "fax_number": "570-343-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERMAN",
        "first_name": "RENEA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "SW125218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "SW125218",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jermyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.