KIMBERLY ANN MARIE PISARCIK (NPI# 1710283304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710283304 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN MARIE PISARCIK |
| Credential | LCSW |
| Practice Address |
1 Tarleton Ave Suite 3 Dallas PA 18612-1248 |
| Practice Telephone | 5703101214 |
| Practice Fax Number | 5703101214 |
| Mailing Telephone | 5703101214 |
| Mailing Fax Number | 5703101273 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW016884 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1025703090004 | 05 |
| Street Address |
1 TARLETON AVE SUITE 3 |
| City | DALLAS |
| State | PA |
| Zip Code | 18612-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906603 | Leonard Carl Medura Sr. | Dentist | 1 Tarleton Ave, Dallas, PA 18612-1248 | 2005-07-15 |
| 1891204616 | Watkins Dental Group LLC | Dentist | 1 Tarleton Ave, Dallas, PA 18612 | 2017-09-25 |
| 1255881405 | Kimberly Pisarcik, Lcsw Therapy, LLC | Social Worker | 1 Tarleton Ave, Suite 3, Dallas, PA 18612-1248 | 2016-10-12 |
| 1396295655 | Watkins & Medura | Dentist | 1 Tarleton Ave, Dallas, PA 18612-1248 | 2016-10-11 |
| 1952851842 | Jacob Tazik | Dentist | 1 Tarleton Ave, Dallas, PA 18612-1248 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
| 1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
| 1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
| 1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
| 1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
| 1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
| 1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
| 1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
| 1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
| 1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
| Find all providers in zip 18612 | ||||
| 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 |
|---|---|---|---|---|
| 1528667185 | Jordan Elaine Halloran | Social Worker | 333 E Greenbriar Ln Apt 1226, Dallas, TX 75203-1115 | 2020-10-23 |
| 1821605650 | Wilma Davis - Reconnecting Families | Social Worker | 6310 Humoresque Dr, Dallas, TX 75241-2614 | 2020-09-25 |
| 1255947578 | Catherine Sang | Social Worker | 6322 Bryan Pkwy, Dallas, TX 75214-4307 | 2020-09-22 |
| 1922617166 | Pamela Mandt | Social Worker | 4312 Potomac Ave, Dallas, TX 75205-2629 | 2020-07-23 |
| 1437774601 | Soturi Counseling and Consulting, Pllc | Social Worker | 8500 N Stemmons Fwy Ste 1000, Dallas, TX 75247-3898 | 2020-06-12 |
| 1093338758 | Sophia Azhar | Social Worker | 2400 Bennett Ave Apt 2122, Dallas, TX 75206-7195 | 2020-05-28 |
| 1982225827 | Kirstin Elizabeth Brown | Social Worker | 9631 Baseline Dr, Dallas, TX 75243-4509 | 2020-05-01 |
| 1942836390 | Jenny Mary Esparza | Social Worker | 2043 Chevella Dr, Dallas, TX 75232-4159 | 2020-03-18 |
| 1790310175 | Alexis Nicole Sikes | Social Worker | 8215 Westchester Dr Ste 145, Dallas, TX 75225-6109 | 2020-03-06 |
| 1679107494 | Julia Clare Rossini | Social Worker | 10588 Stone Canyon Rd Apt 151, Dallas, TX 75230-4416 | 2020-03-02 |
| Find all providers in DALLAS | ||||
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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.