Individual provider Active NPI

Amy Avillion, LSW

  • Social Worker
  • Scranton, PA
National Provider Identifier
1942929914
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW140501 Issued in PA
Practice address
820 S. Washington Ave
Scranton, PA 18505
Phone
(570) 961-5550
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X SW140501 PA Primary

Addresses

Primary practice location

820 S. Washington Ave
Scranton, PA 18505

Mailing address

425 S Franklin St Apt 16
Wilkes Barre, PA 18702-3843
Phone (570) 574-4432

Other practice location 1

65 N Washington St
Wilkes Barre, PA 18701-3100
Phone (570) 574-4432

Other practice location 2

1416 Monroe Ave Ste 201
Dunmore, PA 18509-2477
Phone (570) 574-4432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aavillion@mfhs.org Direct

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
SW140501PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1942929914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S FRANKLIN ST APT 16",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023843",
            "telephone_number": "570-574-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S. WASHINGTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-961-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187013100",
            "country_code": "US",
            "telephone_number": "570-574-4432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 Monroe Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dunmore",
            "state": "PA",
            "postal_code": "185092477",
            "country_code": "US",
            "telephone_number": "570-574-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILLION",
        "first_name": "AMY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW140501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aavillion@mfhs.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "820 S. Washington Ave",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.