MEDICARE: THE NORTHEAST RESILIENCE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1558227611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NORTHEAST RESILIENCE CENTER

Provider Business Mailing Address
First Line	:	1100 TWIN STACKS DR STE 1302
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-8505
Country	:	US
Telephone Number	:	570-209-5924
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 TWIN STACKS DR STE 1302
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-8505
Country	:	US
Telephone Number	:	570-209-5924
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	SEAN DOWLING
Credential	:	LCSW
Telephone Number	:	570-416-9161

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/17/2026

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