Individual provider Active NPI

Jodi Hockenberry, LCSW

  • Clinical Social Worker
  • Johnstown, PA
National Provider Identifier
1033637798
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022217 Issued in PA
Practice address
865 Eisenhower Blvd
Johnstown, PA 15904-3318
Phone
(814) 266-8840
Fax
(814) 266-4922
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 CW022217 PA Primary

Addresses

Primary practice location

865 Eisenhower Blvd
Johnstown, PA 15904-3318

Mailing address

865 Eisenhower Blvd
Johnstown, PA 15904-3318
Phone (814) 266-8840

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
I20220908003654 PA Practitioner - Clinical Social Worker 1052795135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Care SpecialistsGroup PAC ID 9537333604, 8 clinicians

Practice addresses (Care Compare)

865 Eisenhower Blvd
Johnstown, PA 15904-3318
Phone (814) 266-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Care Specialists CurrentSince Aug 3, 2022 Accepting new patients
Childrens Community Pediatrics Past Accepting new patients

Locations

121 Rolling Acres Dr
Alum Bank, PA 15521
Phone (814) 266-8840

131 Casale Ct
Ebensburg, PA 15931
Phone 8142668840 ext. 300

1322 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 266-8840

865 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 266-8840

110 Main St
Johnstown, PA 15901
Phone 8142668840 ext. 300

507 Georgian Pl
Somerset, PA 15501
Phone (814) 266-8840

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1033637798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043318",
            "telephone_number": "814-266-8840",
            "fax_number": "814-266-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043318",
            "telephone_number": "814-266-8840",
            "fax_number": "814-266-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKENBERRY",
        "first_name": "JODI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.