Individual provider Active NPI

Amber Shey Cornell, LSW

  • Social Worker
  • Lebanon, PA
National Provider Identifier
1023721933
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW139999 Issued in PA
Practice address
125 Schneider Dr
Lebanon, PA 17046-4875
Phone
(717) 270-2444
Fax
(717) 270-2472
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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 SW139999 PA Primary

Addresses

Primary practice location

125 Schneider Dr
Lebanon, PA 17046-4875

Mailing address

785 5TH Avenue, Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 273-8871

Other practice location 2

2124 Old Philadelphia Pike
Lancaster, PA 17602-3415
Phone (717) 676-7641

Other practice location 3

1407 Williams Rd
York, PA 17402-9000
Phone (717) 845-2482

Other practice location 4

780 Eden Rd
Lancaster, PA 17601-4275
Phone (717) 735-7770

Other practice location 5

1000 S 8th St
Lebanon, PA 17042-6726
Phone (717) 874-9963

Other practice location 6

1315 Old Forge Rd
Lebanon, PA 17046-7951
Phone (717) 273-8871

Other practice location 7

2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954

Other identifiers 2

IdentifierTypeStateIssuer
104108328MedicaidPA
15853186OtherPACAQH

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
SW139999PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven CurrentSince Apr 16, 2023 Accepting new patients
Philhaven PastSince Apr 16, 2023 Accepting new patients

Locations

785 5th Ave
Ste 3
Chambersburg, PA 17201

2501 Oregon Pike
Lancaster, PA 17601
Phone (717) 735-1954

780 Eden Rd
Lancaster, PA 17601
Phone (717) 735-0515

125 Schneider Dr
Ste B
Lebanon, PA 17046
Phone (717) 376-1020

283 S Butler Rd
Lebanon, PA 17042

125 Schneider Dr
Lebanon, PA 17046
Phone (717) 270-2444

1407 Williams Rd
York, PA 17402
Phone (717) 845-2482

Organizations & group practices 2

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1023721933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVENUE, SUITE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SCHNEIDER DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170464875",
            "telephone_number": "717-270-2444",
            "fax_number": "717-270-2472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 Old Philadelphia Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176023415",
            "country_code": "US",
            "telephone_number": "717-676-7641",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 Williams Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029000",
            "country_code": "US",
            "telephone_number": "717-845-2482",
            "fax_number": "717-843-2170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Eden Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014275",
            "country_code": "US",
            "telephone_number": "717-735-7770",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426726",
            "country_code": "US",
            "telephone_number": "717-874-9963",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Old Forge Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170467951",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014890",
            "country_code": "US",
            "telephone_number": "717-735-1954",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "AMBER",
        "middle_name": "SHEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104108328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15853186",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.