Active NPI
Kristen A Schenker, LCSW
- Clinical Social Worker
- Erie, PA
National Provider Identifier
1043729692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019586
- Practice address
- 1373 W 6TH St
Erie, PA 16505-2503 - Phone
- (814) 873-4205
- NPI assigned
- Sep 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW019586 | PA | Primary |
Addresses
Primary practice location
1373 W 6TH St
Erie, PA 16505-2503
Mailing address
829 Lowell Ave
Erie, PA 16505-4143
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW019586 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Counseling and Consulting LLC | Clinical | Current | Accepting new patients |
Locations
3939 W Ridge Rd
Ste A204
Erie, PA 16506
Phone (814) 449-6264
1373 W 6th St
Erie, PA 16505
Phone (814) 201-6432
Organizations & group practices 1
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": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1043729692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 LOWELL AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165054143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1373 W 6TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165052503",
"telephone_number": "814-873-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENKER",
"first_name": "KRISTEN",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.