MR. THOMAS J SHEERAN III LCSW NPI 1285698340

Social Worker (Clinical) in Montrose, PA

NPI 1285698340 Individual Male Years of Experience 26 Social Worker Clinical PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for MR. THOMAS J SHEERAN III LCSW

Thomas Sheeran is a provider established in Montrose, Pennsylvania and his medical specialization is social worker (clinical) with more than 26 years of experience. The NPI number of Thomas Sheeran is 1285698340 and was assigned on April 2006. The practitioner's primary taxonomy code is 1041C0700X with license number CW014249 (PA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

A clinical social worker like Mr. Thomas J Sheeran Iii Lcsw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Thomas Sheeran is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Thomas Sheeran is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1285698340

Provider NameMR. THOMAS J SHEERAN III LCSW
Provider Location AddressLAKE PLAZA 2 ROUTE 706 E MONTROSE, PA 18801
Provider Mailing Address185 FALLBROOK ST CARBONDALE, PA 18407
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1997
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date04-14-2006
Last Update Date04-01-2010


Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.CW014249
License StatePA
Taxonomy DescriptionA 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.

Business Address

MR. THOMAS J SHEERAN III LCSW
LAKE PLAZA 2 ROUTE 706 E
MONTROSE, PA
ZIP 18801
Phone: (570) 278-3393
Fax: (570) 278-1716

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Mailing Address

MR. THOMAS J SHEERAN III LCSW
185 FALLBROOK ST
CARBONDALE, PA
ZIP 18407
Phone: (570) 282-1732
Fax: (570) 282-6529



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1850426388
PECOS Enrollment IDI20100323000029
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285698340
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651291638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 9 + 1 + 6 + 3 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1285698340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659335719MS. PAMELA J WALKER LCSW
Individual
Social WorkerLAKE PLAZA 2 ROUTE 706 E
MONTROSE, PA 18801
(570) 278-3393
1427252485 JANET STEVENS LSW
Individual
Social WorkerLAKE PLAZA 2 ROUTE 706 E RR #7
MONTROSE, PA 18801
(570) 278-3393
1962479055DR. KENNETH R LATTIMORE MD
Individual
Psychiatry & Neurology (Psychiatry)LAKE PLAZA 2 ROUTE 706 E
MONTROSE, PA 18801
(570) 278-3393

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mr. Thomas J Sheeran Iii Lcsw is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.