Active NPI
Julie Mestemaker, LCSW, CJSOTS
- Clinical Social Worker
- Mechanicsburg, PA
National Provider Identifier
1063793982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW 018982
- Practice address
- 960 Century Dr
FLS
Mechanicsburg, PA 17055-4374 - Phone
- (717) 795-0330
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
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 | CW 018982 | PA | Primary |
Addresses
Primary practice location
960 Century Dr
FLS
Mechanicsburg, PA 17055-4374
Mailing address
111 S East St
Carlisle, PA 17013-2519
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW 018982 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1063793982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S EAST ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170132519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 CENTURY DR",
"address_2": "FLS",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554374",
"telephone_number": "717-795-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESTEMAKER",
"first_name": "JULIE",
"credential": "LCSW, CJSOTS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW 018982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.