| Children's Service Center Of Wyoming Valley Inc | |
|
335 S Franklin St Wilkes Barre PA 18702-3808 | |
| (570) 825-6425 | |
| (570) 301-3330 |
| Full Name | Children's Service Center Of Wyoming Valley Inc |
|---|---|
| Speciality | Counselor |
| Location | 335 S Franklin St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Sharon Pisarcik (CFO) |
| Authorized Official Contact | 5708256425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Service Center Of Wyoming Valley Inc 335 S Franklin St Wilkes Barre PA 18702-3808 Ph: (570) 825-6425 | Children's Service Center Of Wyoming Valley Inc 335 S Franklin St Wilkes Barre PA 18702-3808 Ph: (570) 825-6425 |
| NPI Number | 1700861242 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Medicare PECOS PAC ID | 1052567617 |
|---|---|
| Medicare Enrollment ID | O20170609001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700861242 | NPI | - | NPPES |
| 100728011 | Medicaid | PA |
| Provider Name | Mushtaq Jameel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487605176 PECOS PAC ID: 2062416894 Enrollment ID: I20060908000149 |
| Provider Name | Ibrahim M Almeky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750477139 PECOS PAC ID: 7719074889 Enrollment ID: I20080102000355 |
| Provider Name | Pareshkumar C Solgama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417973876 PECOS PAC ID: 5092866376 Enrollment ID: I20090626000065 |
| Provider Name | Denise Namowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245272848 PECOS PAC ID: 1850445586 Enrollment ID: I20090814000514 |
| Provider Name | Michele Holincheck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689907248 PECOS PAC ID: 0143368837 Enrollment ID: I20091118000207 |
| Provider Name | Md Mushfiqur Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013144211 PECOS PAC ID: 3476718685 Enrollment ID: I20130904000341 |
| Provider Name | Dandra M Lindbuchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740664028 PECOS PAC ID: 6507174950 Enrollment ID: I20151005000583 |
| Provider Name | Jennifer L Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063895431 PECOS PAC ID: 7214247600 Enrollment ID: I20151116001180 |
| Provider Name | Stacey E Ishley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255712956 PECOS PAC ID: 0648537050 Enrollment ID: I20171120001176 |
| Provider Name | John Evers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720526536 PECOS PAC ID: 4183981509 Enrollment ID: I20171120001758 |
| Provider Name | Gordon B Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477793271 PECOS PAC ID: 1658638093 Enrollment ID: I20171120002695 |
| Provider Name | Laura Janov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366852030 PECOS PAC ID: 7517224728 Enrollment ID: I20171127000617 |
| Provider Name | Summer Krochta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184176497 PECOS PAC ID: 9931466166 Enrollment ID: I20171127001206 |
| Provider Name | Carolanne Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487782587 PECOS PAC ID: 9638436397 Enrollment ID: I20171205001762 |
| Provider Name | Gregory S Michael |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134382476 PECOS PAC ID: 9931467818 Enrollment ID: I20171226000048 |
| Provider Name | Muhammad A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356377428 PECOS PAC ID: 7416211487 Enrollment ID: I20180430001125 |
| Provider Name | Marina Pryor Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598276966 PECOS PAC ID: 4880924299 Enrollment ID: I20190927001809 |
| Provider Name | Renata A Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740635507 PECOS PAC ID: 1254628399 Enrollment ID: I20190930002700 |
| Provider Name | Jacqueline A Gillern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063982759 PECOS PAC ID: 3577998004 Enrollment ID: I20200110000968 |
| Provider Name | Sylena J Parham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700411949 PECOS PAC ID: 1759711054 Enrollment ID: I20200429002375 |
| Provider Name | Mary Nmi Sooy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326471657 PECOS PAC ID: 2365873031 Enrollment ID: I20200513000417 |
| Provider Name | Kimberly Witt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043754948 PECOS PAC ID: 7113341215 Enrollment ID: I20200722002036 |
| Provider Name | Evan T Baier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134671589 PECOS PAC ID: 6002230059 Enrollment ID: I20200723000035 |
| Provider Name | James W Truscott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528040235 PECOS PAC ID: 5496163941 Enrollment ID: I20210421002037 |
| Provider Name | Brenda M Tocket |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154908663 PECOS PAC ID: 1658772967 Enrollment ID: I20210624000476 |
| Provider Name | Anthony P Linnen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275886046 PECOS PAC ID: 6901292911 Enrollment ID: I20220330002867 |
| Provider Name | Jill C Laibinis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689397754 PECOS PAC ID: 4183096209 Enrollment ID: I20230217000725 |
| Provider Name | Danielle L Antonini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083388508 PECOS PAC ID: 1052777463 Enrollment ID: I20230509002492 |
| Provider Name | Aisha A Momoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235824343 PECOS PAC ID: 2567828973 Enrollment ID: I20230509002636 |
| Provider Name | Jennifer L Kottler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740975366 PECOS PAC ID: 9638536261 Enrollment ID: I20230613000886 |
| Provider Name | Brianna Pasterchik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235862020 PECOS PAC ID: 4284096595 Enrollment ID: I20230818001303 |
| Provider Name | Jillian Rose Neikam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417619834 PECOS PAC ID: 5092165852 Enrollment ID: I20231220002527 |
| Provider Name | Lauren Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023644101 PECOS PAC ID: 7214387927 Enrollment ID: I20231221000676 |
| Provider Name | Laura Jane Jacoby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417243437 PECOS PAC ID: 2163789884 Enrollment ID: I20231221001515 |
| Provider Name | Amanda Kathryn Gwiazdowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518679117 PECOS PAC ID: 9436509882 Enrollment ID: I20231227001035 |
| Provider Name | Laura R Kluck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669149993 PECOS PAC ID: 8426409459 Enrollment ID: I20240104000049 |
| Provider Name | Jamie L Padula |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063192011 PECOS PAC ID: 5294186151 Enrollment ID: I20240105000027 |
| Provider Name | Alyssa Bufano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265974570 PECOS PAC ID: 8527419878 Enrollment ID: I20240110004923 |
| Provider Name | Rachel Marie Dolk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649044637 PECOS PAC ID: 2769835859 Enrollment ID: I20240124004608 |
| Provider Name | Kimberly Franks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154705853 PECOS PAC ID: 3072966001 Enrollment ID: I20240126000068 |
| Provider Name | Thomas Twardowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598206260 PECOS PAC ID: 0749621225 Enrollment ID: I20240515001326 |
| Provider Name | Briana A Lennon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851146799 PECOS PAC ID: 9638511082 Enrollment ID: I20240530001923 |
Allied Health Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Scott St, Wilkes Barre, PA 18705 Phone: 570-348-2911 Fax: 570-341-4646 | |
A Better Today, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Main St, Wilkes Barre, PA 18701 Phone: 570-344-1444 | |
Loftus-vergari And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 N Washington St, Suite 1, Wilkes Barre, PA 18701 Phone: 570-822-9706 | |
Community Counseling Services Of Nepa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 Fax: 570-552-6020 | |
Family Service Association Of Northeastern Pennsylvania Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 31 West Market Street, Wilkes Barre, PA 18701 Phone: 570-823-5144 Fax: 570-829-5054 | |
Loftus-vergari Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 N Washington St, Suite 1, Wilkes Barre, PA 18701 Phone: 570-822-9706 Fax: 570-824-1408 | |
Community Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 Fax: 570-552-6021 |