Clover Leaf Counseling Center, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLOVER LEAF COUNSELING CENTER, LLC.

Practice address

273 E 7TH St
Bloomsburg, PA 17815-2853

Phone

(570) 507-7170

NPI assigned

Sep 20, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kara Dianne Eberle- Jones, LCSWNPI 1407138092

Title

Owner/ Provider

Phone

(570) 847-4623

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kara Dianne Eberle-Jones, LCSW

  • Clinical Social Worker
  • Bloomsburg, PA
  • NPI 1407138092

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Alexa Nicole Moore, LCSW

  • Social Worker
  • Bloomsburg, PA
  • NPI 1730808577
  Medicare reassignment Care Compare group NPD
• Erica Clare Tobias, LCSW

  • Clinical Social Worker
  • Bloomsburg, PA
  • NPI 1467229864
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1003539511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CLOVER LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178217960",
            "telephone_number": "570-847-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E 7TH ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152853",
            "telephone_number": "570-507-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER LEAF COUNSELING CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "EBERLE- JONES",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "570-847-4623",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Church
• Cynthia Ciccotelli, MD
• Rachel Clappin, RN
• David M. Clark, OD
• Shawn Clavelle, MSW, LSW
• Cmsu Behavioral Health and Developmental Services
• Cmsu MH/Mr and D&a Program
• Anna Coleman
• Columbia Ancillary Services Inc
• Columbia Ancillary Services Inc

• Clinical Social Worker in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.