Active NPI
Suzanne C Dimarco, LCSW
- Clinical Social Worker
- Uniontown, PA
National Provider Identifier
1912061029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013069
- Practice address
- 21 W Fayette St
Uniontown, PA 15401-3429 - Phone
- (724) 438-0336
- Fax
- (724) 438-3466
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013069 | PA | Primary |
Addresses
Primary practice location
21 W Fayette St
Uniontown, PA 15401-3429
Mailing address
21 W Fayette St
Uniontown, PA 15401-3429
Phone (724) 438-0336
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123197 | Other | VALUE OPTIONS | |
| 11584870 | Other | UNITED BEHAV HEALTH | |
| 646235 | Other | PA | HIGHMARK |
| 207235 | Other | PA | UPMC |
Other names 1
- Suzanne C Hraychuck Sr.
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 |
|---|---|---|---|---|
| I20120705000548 | PA | Practitioner - Clinical Social Worker | 0547425159 | Practice locations: Uniontown, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1912061029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W FAYETTE ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013429",
"telephone_number": "724-438-0336",
"fax_number": "724-438-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W FAYETTE ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013429",
"telephone_number": "724-438-0336",
"fax_number": "724-438-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARCO",
"first_name": "SUZANNE",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "123197",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAV HEALTH",
"identifier": "11584870",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "646235",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "207235",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "HRAYCHUCK",
"middle_name": "C",
"suffix": "SR.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.