Organization Active NPI

Nicholas J. Telincho Jr. LCSW

  • Social Worker
  • West Pittston, PA
National Provider Identifier
1912373853
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW014087 Issued in PA
Legal business name
NICHOLAS J. TELINCHO JR. LCSW
Practice address
317 Chase St
West Pittston, PA 18643-2011
Phone
(570) 603-0666
Fax
(570) 299-7777
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Mr. Nicholas J. Telincho Jr., LCSW
Title
Owner
Phone
(570) 603-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X CW014087 PA Primary

Addresses

Primary practice location

317 Chase St
West Pittston, PA 18643-2011

Mailing address

317 Chase St
West Pittston, PA 18643-2011
Phone (570) 603-0666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1912373853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CHASE ST",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432011",
            "telephone_number": "570-603-0666",
            "fax_number": "570-299-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CHASE ST",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432011",
            "telephone_number": "570-603-0666",
            "fax_number": "570-299-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS J. TELINCHO JR. LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "TELINCHO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-603-0666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW014087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.