CENTERVILLE CLINICS INC NPI 1205312394

NPI Information

  • NPI: 1205312394
  • Provider Name: CENTERVILLE CLINICS INC
  • Classification: Social Worker - 1041S0200X
  • Specialization: School
  • Entity Type: Organization
  • CLIA Number: 39D0906412
  • Address: BENTWORTH ELEMENTARY SCHOOL
    150 BEARCAT DRIVE
    BENTLEYVILLE, PA
    ZIP 15314
  • Phone: (724) 239-3606

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NPI Details

CENTERVILLE CLINICS INC is a school social worker in Bentleyville, PA. CENTERVILLE CLINICS INC NPI is 1205312394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

BENTWORTH ELEMENTARY SCHOOL
150 BEARCAT DRIVE
BENTLEYVILLE, PA
ZIP 15314
Phone: (724) 239-3606
Fax: (724) 239-3205

The provider's authorized official is Barry Niccolai .
The authorized official title is Executive Director and has the following contact phone number (724) 632-6801.

The CLIA number assigned to this NPI record is 39D0906412 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 7/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041S0200XSocial WorkerSchoolPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007288440027MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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