Individual provider Active NPI

Giuliana Marie Desavino

  • Social Worker
  • Mayfield, PA
National Provider Identifier
1902452105
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW136116 Issued in PA
Practice address
1300 Old Plank Rd
Mayfield, PA 18433-1973
Phone
(570) 281-6222
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW136116 PA Primary

Addresses

Primary practice location

1300 Old Plank Rd
Mayfield, PA 18433-1973

Mailing address

1300 Old Plank Rd
Mayfield, PA 18433-1973
Phone (570) 281-6222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdesavino@friendshiphousepa.org

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
SW136116PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1902452105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OLD PLANK RD",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184331973",
            "telephone_number": "570-281-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OLD PLANK RD",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184331973",
            "telephone_number": "570-281-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAVINO",
        "first_name": "GIULIANA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdesavino@friendshiphousepa.org",
            "affiliation": "N",
            "address_1": "1300 Old Plank Rd",
            "city": "Mayfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184331973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.