Provider Demographics
NPI:1043433683
Name:CATHOLIC SOCIAL SERVICES OF THE DIOCESE OF SCRANTON, INC.
Entity Type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES OF THE DIOCESE OF SCRANTON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL AND PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELINE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:570-207-2283
Mailing Address - Street 1:33 E NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18701-2406
Mailing Address - Country:US
Mailing Address - Phone:570-822-7118
Mailing Address - Fax:
Practice Address - Street 1:400 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1226
Practice Address - Country:US
Practice Address - Phone:570-207-2283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW000108L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty