Individual provider Active NPI

Mary Chirdon Frontino, LCSW

  • Clinical Social Worker
  • Altoona, PA
National Provider Identifier
1972578805
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015016 Issued in PA
Practice address
1310 Valley View Blvd
Altoona, PA 16602-6080
Phone
(814) 944-9970
Fax
(814) 944-9974
NPI assigned
Feb 22, 2006
Last updated
Dec 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015016 PA Primary

Addresses

Primary practice location

1310 Valley View Blvd
Altoona, PA 16602-6080

Mailing address

1310 Valley View Blvd
Altoona, PA 16602-6080
Phone (814) 944-9970

Other identifiers 8

IdentifierTypeStateIssuer
110678YB7LOtherPAMEDICARE
2103209OtherPACIGNA
251214495OtherPAUNITED BEHAVIORAL HEALTH
001325220OtherPAHIGHMARK PROVIDER ID
274889000OtherPAMEGELLAN
520337OtherPAVALUE OPTIONS
102390641 0002OtherPACBHNP, MEDICAID
7826281OtherPAAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000127 PA Practitioner - Clinical Social Worker 8921000480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair Family Solutions, LLCGroup PAC ID 7113111261, 7 clinicians

Practice addresses (Care Compare)

1310 Valley View Blvd
Altoona, PA 16602-6080
Phone (814) 944-9970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Family Solutions, LLC CurrentSince Oct 26, 2010 Accepting new patients
Lytle Behavioral Health Inc Clinical Past Accepting new patients

Locations

1310 Valley View Blvd
Altoona, PA 16602
Phone (814) 944-9970

705 12th St
Altoona, PA 16602
Phone (814) 944-9970

Organizations & group practices 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1972578805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026080",
            "telephone_number": "814-944-9970",
            "fax_number": "814-944-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026080",
            "telephone_number": "814-944-9970",
            "fax_number": "814-944-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTINO",
        "first_name": "MARY",
        "middle_name": "CHIRDON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "110678YB7L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2103209",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "251214495",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER ID",
            "identifier": "001325220",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEGELLAN",
            "identifier": "274889000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "520337",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHNP, MEDICAID",
            "identifier": "102390641 0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7826281",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.