Individual provider Active NPI

Joanna K Pechal, LSW

  • Social Worker
  • West Pittston, PA
National Provider Identifier
1992520837
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW141799 Issued in PA
Practice address
341 Wyoming Ave Ste 8
West Pittston, PA 18643-2839
Phone
(570) 406-1107
Fax
(802) 284-3210
NPI assigned
Nov 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW141799 PA Primary

Addresses

Primary practice location

341 Wyoming Ave Ste 8
West Pittston, PA 18643-2839

Mailing address

16 Main Rd
Glen Lyon, PA 18617-1250
Phone (570) 406-1107

Other practice location 1

16 Main Rd
Glen Lyon, PA 18617-1250
Phone (570) 406-1107

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
SW141799PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unizon Mental Health Services CurrentSince Nov 17, 2024 Accepting new patients

Locations

341 Wyoming Ave
Ste 8
West Pittston, PA 18643
Phone (445) 255-7877

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1992520837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAIN RD",
            "city": "GLEN LYON",
            "state": "PA",
            "postal_code": "186171250",
            "telephone_number": "570-406-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WYOMING AVE STE 8",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432839",
            "telephone_number": "570-406-1107",
            "fax_number": "802-284-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Main Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Lyon",
            "state": "PA",
            "postal_code": "186171250",
            "country_code": "US",
            "telephone_number": "570-406-1107",
            "fax_number": "802-284-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECHAL",
        "first_name": "JOANNA",
        "middle_name": "K",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW141799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.