Individual provider Active NPI

Shannon Wasel, LSW

  • Social Worker
  • Newtown, PA
National Provider Identifier
1942742440
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW132942 Issued in PA
Practice address
444 S State St
Building a
Newtown, PA 18940-1945
Phone
(215) 317-4066
NPI assigned
Nov 15, 2016
Last updated
Nov 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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 SW132942 PA Primary

Addresses

Primary practice location

444 S State St
Building a
Newtown, PA 18940-1945

Mailing address

164 Hillcroft Way
Newtown, PA 18940-2315
Phone (215) 317-4066

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
SW132942PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newtown Therapy and Wellness Center PastSince May 31, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1942742440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HILLCROFT WAY",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402315",
            "telephone_number": "215-317-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S STATE ST",
            "address_2": "BUILDING A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401945",
            "telephone_number": "215-317-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEL",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.