Joleen Rae George, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW135986 Issued in PA

Practice address

62 Plaza LN
Wellsboro, PA 16901-1766

Phone

(570) 724-7142

NPI assigned

May 7, 2020

Last updated

May 7, 2020By 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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towanda, PA
  • NPI 1376845479
  Medicare reassignment NPD
• Concern-Professional Services for Children, Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1053178764
  NPD
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towanda, PA
  • NPI 1093468324
  NPD
• Concern-Processional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Liberty, PA
  • NPI 1104347970
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, PA
  • NPI 1013438878
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Community/Behavioral Health Agency
  • Mansfield, PA
  • NPI 1346694635
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blossburg, PA
  • NPI 1740701507
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Community/Behavioral Health Agency
  • Mansfield, PA
  • NPI 1881033876
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1902428469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221350",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PLAZA LN",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011766",
            "telephone_number": "570-724-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JOLEEN",
        "middle_name": "RAE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R Fry, BSL/MS
• Grady D. Gafford, M.D.
• Amy Geiser
• Genesis Rehabilitation
• Tanya L Geneski, PT
• William Lee Gillen Jr., COTA/L
• Donald Golobek
• Grady D. Gafford MD PC
• Susan Groover-Van Pelt, LSW
• Edmund P Guelig, M.D.

• Social Worker in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.

Verify at the official NPI Registry.