Individual provider Active NPI

Elise Meredith Jefferis, RN, LCSW

  • Clinical Social Worker
  • Zelienople, PA
National Provider Identifier
1023229861
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016433 Issued in PA
Practice address
123 N Pittsburgh St
Zelienople, PA 16063-1229
Phone
(724) 396-1510
Fax
(724) 691-0476
NPI assigned
May 24, 2007
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016433 PA Primary

Addresses

Primary practice location

123 N Pittsburgh St
Zelienople, PA 16063-1229

Mailing address

101 Pembroke CT
Greensburg, PA 15601-6404
Phone (724) 396-1510

Other practice location 1

450 Hillcrest Ave
Grove City, PA 16127-1708
Phone (724) 396-1510

Other identifiers 2

IdentifierTypeStateIssuer
168201ZDEJOtherPAMEDICARE PTAN
601018OtherPAMEDICAID VALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000206 PA Practitioner - Clinical Social Worker 4587759774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard HoffmanGroup PAC ID 7618137522, 54 clinicians

Practice addresses (Care Compare)

438 Pellis Rd
Suite 202
Greensburg, PA 15601-7900
Phone (724) 396-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
CW016433PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Hoffman CurrentSince Sep 22, 2014 Accepting new patients
Christian Counseling Associates of Western Pennsylvania CurrentSince Sep 22, 2014 Accepting new patients
Children's Community Care Current Accepting new patients
Rural Mental Health Associates Inc Clinical PastSince Dec 18, 2008 Accepting new patients

Locations

438 Pellis Rd
Ste 202
Greensburg, PA 15601
Phone (724) 832-7157

11279 Perry Hwy
Ste 450
Wexford, PA 15090

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1023229861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510",
            "fax_number": "724-691-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N PITTSBURGH ST",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160631229",
            "telephone_number": "724-396-1510",
            "fax_number": "724-691-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Hillcrest Ave",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161271708",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERIS",
        "first_name": "ELISE",
        "middle_name": "MEREDITH",
        "credential": "RN, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "168201ZDEJ",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID VALUE OPTIONS",
            "identifier": "601018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zelienople, PA

Sources for this page

Verify at the official NPI Registry.