Individual provider Active NPI

Erin Michelle Sheaffer, LCSW

  • Clinical Social Worker
  • Moon Township, PA
National Provider Identifier
1063701043
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016473 Issued in PA
Practice address
890 Beaver Grade Rd.
Upper Level
Moon Township, PA 15108-2331
Phone
(724) 457-0858
Fax
(724) 457-0867
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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 CW016473 PA Primary

Addresses

Primary practice location

890 Beaver Grade Rd.
Upper Level
Moon Township, PA 15108-2331

Mailing address

890 Beaver Grade Rd
Upper Level
Moon Township, PA 15108-2653
Phone (724) 457-0858

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
I20110518000305 PA Practitioner - Clinical Social Worker 3274719778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Behavioral Diagnostics and Treatment, LLCGroup PAC ID 8527313683, 8 clinicians

Practice addresses (Care Compare)

102 Broadway St
Suite 404
Carnegie, PA 15106-2486
Phone (412) 329-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016473PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Behavioral Diagnostics and Treatment, LLC CurrentSince Dec 3, 2019 Accepting new patients
Associates in Behavioral Diagnostics and Treatment, LLC Clinical PastSince Dec 3, 2019 Accepting new patients

Locations

102 Broadway St
Ste 404
Carnegie, PA 15106
Phone (412) 245-6080

1150 Thorn Run Road Ext
Ste 110
Moon Twp, PA 15108
Phone (412) 329-7778

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1063701043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BEAVER GRADE RD",
            "address_2": "UPPER LEVEL",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082653",
            "telephone_number": "724-457-0858",
            "fax_number": "724-457-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 BEAVER GRADE RD.",
            "address_2": "UPPER LEVEL",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082331",
            "telephone_number": "724-457-0858",
            "fax_number": "724-457-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAFFER",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.