| Dignity Inc | |
|
65 Bryden St Pittston PA 18640-3450 | |
| (570) 225-9299 | |
| Not Available |
| Full Name | Dignity Inc |
|---|---|
| Speciality | Social Worker |
| Location | 65 Bryden St, Pittston, Pennsylvania |
| Authorized Official Name and Position | Rebecca Race (CEO) |
| Authorized Official Contact | 7733174452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Inc 65 Bryden St Pittston PA 18640-3450 Ph: (570) 225-9299 | Dignity Inc 65 Bryden St Pittston PA 18640-3450 Ph: (570) 225-9299 |
| NPI Number | 1053994293 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 0547660276 |
|---|---|
| Medicare Enrollment ID | O20210616002639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053994293 | NPI | - | NPPES |
| 104166359 | Medicaid | PA |
| Provider Name | Kelly Vermeeren-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376156844 PECOS PAC ID: 8224438965 Enrollment ID: I20210616003318 |
| Provider Name | Timothy Matthew Race |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083486625 PECOS PAC ID: 0345699815 Enrollment ID: I20231208001601 |
| Provider Name | Deanna Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013697358 PECOS PAC ID: 3375087034 Enrollment ID: I20240705000635 |
| Provider Name | Rebecca Race |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205242005 PECOS PAC ID: 8527468255 Enrollment ID: I20250407000481 |
| Provider Name | Jennifer Rojek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720463284 PECOS PAC ID: 8224553961 Enrollment ID: I20250415004070 |
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