MS. PRISCILLA SMITH PANCOAST (NPI# 1356566244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356566244 |
| Entity Type | Individual |
| Full Name | MS. PRISCILLA SMITH PANCOAST |
| Credential | LCSW |
| Practice Address |
340 Montage Mountain Rd Moosic PA 18507-1782 |
| Practice Telephone | 5703463686 |
| Practice Fax Number | 5705586838 |
| Mailing Telephone | 5703463686 |
| Mailing Fax Number | 5705586838 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW002998L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MAGELLAN | 105006000 | 01 |
| PA | VALUE OPTIONS | 140860 | 01 |
| Street Address |
340 MONTAGE MOUNTAIN RD |
| City | MOOSIC |
| State | PA |
| Zip Code | 18507-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718237 | Matthew Adam Berger | Psychiatry & Neurology | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2005-11-23 |
| 1396367892 | Monica Stroz | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2020-05-07 |
| 1275178626 | Megan Marie Birk | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-11-08 |
| 1942844329 | Samantha Cummins | Physician Assistant | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-10-29 |
| 1891336244 | Colleen Flynn Ries | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-10-07 |
| 1235798240 | Amanda Leigh Craven | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-06-12 |
| 1750949384 | Kelly A. Roughgarden | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-05-29 |
| 1760941462 | Wendy Hall | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-03-13 |
| 1063986313 | Marie T Zedalis | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-01-18 |
| 1225509003 | Kyle L Strobel | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184270969 | Frances R Acker- Pisko | Massage Therapist | 540 Gleason Drive, Moosic, PA 18507 | 2019-08-16 |
| 1457854150 | Leanna Tabatabaie | Dietitian, Registered | 532 Main St Ste 3, Moosic, PA 18507 | 2018-03-09 |
| 1689092769 | James Vito Squadrito Jr. | Physical Therapist | 3356 Birney Plaza, Pro Rehabilitation Services, Moosic, PA 18507 | 2014-04-04 |
| 1871881573 | Ethical Factor Rx LLC | Durable Medical Equipment & Medical Supplies | 4213 Birney Ave, Suite 4, Moosic, PA 18507 | 2011-07-14 |
| 1508955725 | Edward Christopher Grambo | Dentist | 3812 Birney Ave, Moosic, PA 18507 | 2006-10-12 |
| 1316044431 | Moosic Dental Group Inc | Dentist | 502 Church Street, Moosic, PA 18507 | 2006-09-20 |
| 1528047347 | Ralph Demario | Internal Medicine | 340 Momtage Mt Road, Moosic, PA 18507 | 2006-01-11 |
| 1023658895 | Ichs Corporatioin | Clinic/Center | 73 Montage Mountain Road, Moosic, PA 18507 | 2020-01-09 |
| 1285012526 | Laura Herbener | Nurse Practitioner | 53 Glenmaura National Blvd, Moosic, PA 18507 | 2015-05-06 |
| 1104266824 | Travis Edward Perry | Dentist | 502 Church Street, Moosic, PA 18507 | 2013-06-26 |
| Find all providers in zip 18507 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538297650 | Erin Fiske | Social Worker | 72 Glenmaura National Blvd, Moosic, PA 18507-2133 | 2007-03-01 |
| 1740737857 | Laura Rorick | Social Worker | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2016-09-07 |
| 1760867063 | Amanda Rosentel | Social Worker | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2015-07-28 |
| 1730582958 | Jean Marie Decker | Social Worker | 4101 Birney Ave, Moosic, PA 18507-1323 | 2014-10-01 |
| 1720421829 | Mary Keegan | Social Worker | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2013-04-09 |
| 1356524458 | Martin Kenneth Kravchick | Social Worker | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2007-12-11 |
| 1659596534 | Joan M Rogan | Social Worker | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2007-04-16 |
| 1366567646 | Anne L. Krupa | Social Worker | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2007-03-19 |
| 1629131370 | Lynn Marie Pons | Social Worker | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2006-12-17 |
| 1205911674 | Andrea J Oravec | Social Worker | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2006-10-26 |
| Find all providers in MOOSIC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.