Active NPI
Raymond Patrick McGinnis, LCSW
- Clinical Social Worker
- Williamsport, PA
National Provider Identifier
1972796449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013926
- Practice address
- 1016 Dawne Dr
Williamsport, PA 17701-9767 - Phone
- (570) 419-4084
- NPI assigned
- Aug 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013926 | PA | Primary |
Addresses
Primary practice location
1016 Dawne Dr
Williamsport, PA 17701-9767
Mailing address
1016 Dawne Dr
Williamsport, PA 17701-9767
Phone (570) 419-4084
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080703000364 | PA | Practitioner - Clinical Social Worker | 0143392357 | Practice locations: Montoursville, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
55 Pierce LN
Suite 201B
Montoursville, PA 17754-8326
Phone (570) 419-4084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW013926 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187481600000",
"number": "1972796449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 DAWNE DR",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177019767",
"telephone_number": "570-419-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 DAWNE DR",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177019767",
"telephone_number": "570-419-4084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINNIS",
"first_name": "RAYMOND",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-19",
"last_updated": "2007-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.