PHILIP N. BRISLIN (NPI# 1740346535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740346535 |
| Entity Type | Individual |
| Full Name | PHILIP N. BRISLIN |
| Credential | LCSW |
| Practice Address |
110 S Pennsylvania Ave Wilkes Barre PA 18701-3301 |
| Practice Telephone | 5705526148 |
| Practice Fax Number | 5705526021 |
| Mailing Telephone | 5705526148 |
| Mailing Fax Number | 5705526021 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW000909L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | VALUEOPTIONS | 279023 | 01 |
| PA | MHN | 195013 | 01 |
| Street Address |
110 S PENNSYLVANIA AVE |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18701-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043779 | Mary E Mazaleski | Physician Assistant | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2006-05-22 |
| 1346713716 | Kami Leigh Nestler | Nurse Practitioner | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2019-01-08 |
| 1073082665 | Samantha Mary Steinbrenner | Nurse Practitioner | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2018-11-13 |
| 1194228593 | Matthew J Harden | Social Worker | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2018-03-12 |
| 1700316510 | Jerry M Wright | Counselor | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2017-06-14 |
| 1578005013 | Brissa D Rodgers | Social Worker | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2016-11-15 |
| 1730531393 | Jean Schappert | Counselor | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2016-07-07 |
| 1649647355 | Lois Elick | Registered Nurse | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2015-08-28 |
| 1730586306 | Kerry Zellner | Marriage & Family Therapist | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2014-11-26 |
| 1518363811 | Audra Gould | Physician Assistant | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2014-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878836 | Moriah M Teed | Pharmacist | 115 East Northampton St, Wilkes-barre, PA 18701 | 2020-10-12 |
| 1275164055 | Paul Thomas Stanziale | Social Worker | Children's Service Center, 335 S. Franklin St., Wilkes-barre, PA 18701 | 2020-01-30 |
| 1790211175 | Erik David Robertson | Physical Therapist | 4011 Green Pond Road, Bethlhem, PA 18701 | 2017-05-04 |
| 1063895431 | Jennifer L Schell | Nurse Practitioner | 60 Public Sq, Wilkes Barre, PA 18701 | 2015-07-03 |
| 1184051617 | Vincent L. Carolan | Counselor | 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 | 2013-09-30 |
| 1538592696 | Courtenay Jayne Mcdonough | Nurse Practitioner | 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 | 2013-08-13 |
| 1043656721 | Barbara Lynnette Hoffman | Nurse Practitioner | 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 | 2013-05-21 |
| 1518232768 | Sharon Anita Wander | Pediatrics | 47 S Washington Street, Wilkes-barre, PA 18701 | 2012-03-20 |
| 1245564780 | Judith Ann Schrepfer | Occupational Therapist | 1 East Street, Bloomsburg, PA 18701 | 2009-10-01 |
| 1841497658 | Nancy M Rodgers | Counselor | 33 East Northhampton St., Wilkes Barre, PA 18701 | 2007-06-27 |
| Find all providers in zip 18701 | ||||
| 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 |
|---|---|---|---|---|
| 1417475211 | Rosemary Gallagher Ostrosky | Social Worker | 5 Pfout Street, Wilkes Barre, PA 18706 | 2017-09-01 |
| 1356885800 | Melanie Swencki | Social Worker | 193 Saint Clair St, Wilkes Barre, PA 18705-2710 | 2016-12-16 |
| 1700969185 | Ferrell and Associates, Inc. | Social Worker | 111 N Franklin St, Wilkes Barre, PA 18701-1401 | 2006-10-22 |
| 1871587956 | Catherine Hoover Mericle | Social Worker | 31 W Market St, Wilkes Barre, PA 18701-1304 | 2005-09-06 |
| 1720697741 | Lori A Miller | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-07-27 |
| 1497314496 | Stephanie Jacobs | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2019-06-12 |
| 1447733217 | Meredith Marie Evans | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2018-09-07 |
| 1760998710 | Maryangela Delazio Schell | Social Worker | 5 Pfouts St, Wilkes Barre, PA 18706 | 2017-12-28 |
| 1235645359 | Janice Wiles Judge | Social Worker | 5 Pfouts St, Wilkes Barre, PA 18706 | 2017-12-27 |
| 1467987453 | Miranda Dillworth | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2017-04-27 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18701 |
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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.