Organization Active NPI

Senior Care Behavioral Network LLC

  • Clinical Social Worker
  • Hatfield, PA
National Provider Identifier
1972831766
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SENIOR CARE BEHAVIORAL NETWORK LLC
Practice address
2058 Maple Ave Apt J1-12
Hatfield, PA 19440-1583
Phone
(267) 210-1170
Fax
(800) 234-1627
NPI assigned
Dec 7, 2009
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
James Martin Schairer, LCSW
Title
Sole Member
Phone
(267) 210-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2058 Maple Ave Apt J1-12
Hatfield, PA 19440-1583

Mailing address

2058 Maple Ave Apt J1-12
Hatfield, PA 19440-1583
Phone (267) 210-1170

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1972831766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 MAPLE AVE APT J1-12",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401583",
            "telephone_number": "267-210-1170",
            "fax_number": "800-234-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 MAPLE AVE APT J1-12",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401583",
            "telephone_number": "267-210-1170",
            "fax_number": "800-234-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE BEHAVIORAL NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "SCHAIRER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "267-210-1170",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.