Individual provider Active NPI

Danielle Dionne Sholcosky, LCSW/CPRP

  • Social Worker
  • Carbondale, PA
National Provider Identifier
1952633489
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW 127249 Issued in PA
Practice address
30-32 N Main St
Carbondale, PA 18407-2304
Phone
(570) 282-1732
Fax
(570) 282-6805
NPI assigned
Feb 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 SW 127249 PA Primary
Clinical Social Worker 1041C0700X CW017422 PA

Addresses

Primary practice location

30-32 N Main St
Carbondale, PA 18407-2304

Mailing address

30-32 N Main St
Carbondale, PA 18407-2304
Phone (570) 282-1732

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 127249PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1952633489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-32 N MAIN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072304",
            "telephone_number": "570-282-1732",
            "fax_number": "570-282-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-32 N MAIN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072304",
            "telephone_number": "570-282-1732",
            "fax_number": "570-282-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLCOSKY",
        "first_name": "DANIELLE",
        "middle_name": "DIONNE",
        "name_prefix": "Miss",
        "credential": "LCSW/CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW 127249",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.