Individual provider Active NPI

Christian Druckemiller, LSW

  • Social Worker
  • Oil City, PA
National Provider Identifier
1013769199
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW140033 Issued in PA
Practice address
716 E 2ND St
Oil City, PA 16301-2330
Phone
(814) 677-4005
NPI assigned
Apr 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW140033 PA Primary

Addresses

Primary practice location

716 E 2ND St
Oil City, PA 16301-2330

Mailing address

716 E 2ND St
Oil City, PA 16301-2330
Phone (814) 677-4005

Other practice location 1

119 E Mechanic St Ste A
Titusville, PA 16354-2161
Phone (814) 677-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW140033PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Mental Health Associates Inc Social Worker Current Accepting new patients
Family Service and Children'S Aid Society of Venango County Past Accepting new patients
Family Service and Children'S Aid Society of Venango County Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1013769199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E 2ND ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012330",
            "telephone_number": "814-677-4005",
            "fax_number": "814-677-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E 2ND ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012330",
            "telephone_number": "814-677-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 E Mechanic St Ste A",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163542161",
            "country_code": "US",
            "telephone_number": "814-677-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUCKEMILLER",
        "first_name": "CHRISTIAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW140033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oil City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.